HOLLY JO HENDERSON L.P.C.
NPI 1811389620
Counselor - Professional in Cassville, MO
About Holly Jo Henderson L.p.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HOLLY JO HENDERSON L.P.C. (NPI 1811389620) is an individual professional provider in Cassville, Missouri, licensed in Missouri (2015002776) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Holly Jo Henderson L.p.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Holly Henderson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Monett, MO 65708
- Reassigned Medicare billing, Missouri enrollment
- 41 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Holly Henderson's NPI number?
The NPI number for Holly Henderson is 1811389620. It was assigned to this individual provider in the NPPES registry on March 3, 2015.
Where is Holly Henderson located?
Holly Henderson practices at 1701 Townsend St, Cassville, MO 65625. The listed phone number is (417) 671-8075.
What is Holly Henderson's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Holly Henderson enrolled in Medicare?
Yes. Holly Henderson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Holly Henderson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Holly Henderson reassigns Medicare benefits to Clark Community Mental Health Center (Monett, MO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Holly Henderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Holly Henderson accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Ambetter of Tennessee and 1 other insurer list Holly Henderson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Holly Henderson was last updated on April 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Holly Jo Henderson, L.P.C. · NPI 1811389620
Professional provider in Cassville, Missouri. Individual provider, active in the CMS NPPES registry since March 3, 2015.
## Identity
- **NPI:** 1811389620 (Entity type: Individual)
- **Enumerated:** March 3, 2015
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 2015002776 (Missouri)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1701 TOWNSEND ST, Cassville, MO 65625-1451
- **Phone:** (417) 671-8075
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Clark Community Mental Health Center (NPI 1801807771, Monett, MO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 9, 2018
- **Other identifiers:** Medicaid 1811389620 (MO)
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Source: [NPI Profile](https://npiprofile.com/npi/1811389620) · Data from the CMS NPPES public registry.