MATTHEW HENDERSON
NPI 1790310399
Counselor in Alton, IL

Active since March 04, 2020
2615 EDWARDS ST, ALTON, IL 62002(618) 462-2331(618) 462-7160 Get Directions Write a Review

NPPES record last updated: March 4, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Matthew Henderson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MATTHEW HENDERSON (NPI 1790310399) is an individual counselor in Alton, Illinois and active in the NPI registry since March 2020.

NPPES Registry Identity

NPI1790310399
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameMATTHEW HENDERSON
Location Address2615 EDWARDS STAlton, IL 62002-3915
Mailing Address902 W Main StWest Frankfort, IL 62896-2210 · (618) 937-6483 · Fax (618) 937-1440
Fax(618) 462-7160
Sole ProprietorNo
Enumeration DateMarch 4, 2020
NPPES CertifiedMarch 4, 2020
NPI 1790310399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

2615 EDWARDS ST, Alton, IL 62002

Other Identifiers 1

MedicaidIL2970IL

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
2615 EDWARDS ST
ALTON, IL 62002
Counselor (Mental Health)
2615 EDWARDS ST
ALTON, IL 62002
Counselor (Mental Health)
2615 EDWARDS ST
ALTON, IL 62002
Counselor
2615 EDWARDS ST
ALTON, IL 62002
Counselor
2615 EDWARDS ST
ALTON, IL 62002
Counselor (Mental Health)
2615 EDWARDS ST
ALTON, IL 62002
Counselor
2615 EDWARDS ST
ALTON, IL 62002
Counselor (Professional)
2615 EDWARDS ST
ALTON, IL 62002

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Matthew Henderson's NPI number?

The NPI number for Matthew Henderson is 1790310399. It was assigned to this individual provider in the NPPES registry on March 4, 2020.

Where is Matthew Henderson located?

Matthew Henderson practices at 2615 Edwards St, Alton, IL 62002. The listed phone number is (618) 462-2331.

What is Matthew Henderson's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Matthew Henderson was last updated on March 4, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.