KIMBERLY E HENRY
NPI 1801362322
Counselor - Mental Health in Roseburg, OR

Active since October 23, 2018
3005 NE DIAMOND LAKE BLVD, ROSEBURG, OR 97470(541) 673-3469(541) 266-0874 Get Directions Write a Review

NPPES record last updated: March 21, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 3, 2022, Oct 23, 2018 (2 updates tracked since 2018).

About Kimberly E Henry NPPES

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

KIMBERLY E HENRY (NPI 1801362322) is an individual mental health provider in Roseburg, Oregon and active in the NPI registry since October 2018.

NPPES Registry Identity

NPI1801362322
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKIMBERLY E HENRY
Location Address3005 NE DIAMOND LAKE BLVDRoseburg, OR 97470-3609
Mailing AddressPo Box 1121Roseburg, OR 97470-0254 · (541) 672-2691 · Fax (541) 858-8167
Fax(541) 266-0874
Sole ProprietorNo
Enumeration DateOctober 23, 2018
Last NPPES UpdateMarch 21, 20242 updates tracked since enumeration
NPPES CertifiedMarch 21, 2024
NPI 1801362322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
3005 NE DIAMOND LAKE BLVD, Roseburg, OR 97470

Other Names 1

Former Name (1)Kimberly Riddle

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)
3005 NE DIAMOND LAKE BLVD
ROSEBURG, OR 97470
Peer Specialist
3005 NE DIAMOND LAKE BLVD
ROSEBURG, OR 97470
Peer Specialist
3005 NE DIAMOND LAKE BLVD
ROSEBURG, OR 97470
Counselor (Professional)
3005 NE DIAMOND LAKE BLVD
ROSEBURG, OR 97470
Counselor (Mental Health)
3005 NE DIAMOND LAKE BLVD
ROSEBURG, OR 97470
Counselor (Mental Health)
3005 NE DIAMOND LAKE BLVD
ROSEBURG, OR 97470
Counselor (Mental Health)
3005 NE DIAMOND LAKE BLVD
ROSEBURG, OR 97470
Counselor (Mental Health)
3005 NE DIAMOND LAKE BLVD
ROSEBURG, OR 97470

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 Kimberly Henry's NPI number?

The NPI number for Kimberly Henry is 1801362322. It was assigned to this individual provider in the NPPES registry on October 23, 2018. The provider is also known as Kimberly Riddle.

Where is Kimberly Henry located?

Kimberly Henry practices at 3005 NE Diamond Lake Blvd, Roseburg, OR 97470. The listed phone number is (541) 673-3469.

What is Kimberly Henry's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Kimberly Henry was last updated on March 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.