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TRACY RENEE HENDERSON
NPI 1861046179
Counselor - Mental Health in Bend, OR

Active since July 25, 2019
63311 JAMISON ST, BEND, OR 97703(541) 322-7500(541) 322-7565 Get Directions Write a Review

NPPES record last updated: September 23, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 23, 2021, Jul 25, 2019 (2 updates tracked since 2019).

About Tracy Renee Henderson NPPES

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

TRACY RENEE HENDERSON (NPI 1861046179) is an individual mental health provider in Bend, Oregon and active in the NPI registry since July 2019.

NPPES Registry Identity

NPI1861046179
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTRACY RENEE HENDERSON
Location Address63311 JAMISON STBend, OR 97703-8288
Mailing Address2577 Ne Courtney DrBend, OR 97701-7752 · (541) 322-7500 · Fax (541) 322-7565
Phone(541) 322-7500
Fax(541) 322-7565
Sole ProprietorNo
Enumeration DateJuly 25, 2019
Last NPPES UpdateSeptember 23, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2021
✔ NPI 1861046179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
63311 JAMISON ST, Bend, OR 97703
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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.

ERICA RAE WIMBISH
Case Manager/Care Coordinator
63311 JAMISON ST
BEND, OR 97703
Deschutes County (541) 322-7500
VICTORIA MAFFEO
Counselor (Mental Health)
63311 JAMISON ST
BEND, OR 97703
Deschutes County (541) 322-7500
MATTHEW JARED GRAFFENBERGER QMHA
Counselor (Mental Health)
63311 JAMISON ST
BEND, OR 97703
Deschutes County (541) 322-7500
JOSHUA JAMES GAGE
Counselor (Mental Health)
63311 JAMISON ST
BEND, OR 97703
Deschutes County (541) 322-7500
CHARLES JOSEPH DEZORT
Peer Specialist
63311 JAMISON ST
BEND, OR 97703
Deschutes County (541) 322-7500
CHRISTINA HOPE ROWE
Peer Specialist
63311 JAMISON ST
BEND, OR 97703
Deschutes County (541) 322-7500
NICOLE RENEE MCCLENDON LMSW
Counselor (Mental Health)
63311 JAMISON ST
BEND, OR 97703
Deschutes County (541) 322-7500
JOHN STEWART
Counselor (Mental Health)
63311 JAMISON ST
BEND, OR 97703
Deschutes County (541) 322-7500

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 Tracy Henderson's NPI number?

The NPI number for Tracy Henderson is 1861046179. It was assigned to this individual provider in the NPPES registry on July 25, 2019.

Where is Tracy Henderson located?

Tracy Henderson practices at 63311 Jamison St, Bend, OR 97703. The listed phone number is (541) 322-7500.

What is Tracy Henderson'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 Tracy Henderson was last updated on September 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.