MR. JACK J HENDERSON LPC
NPI 1891983151
Counselor - Professional in Houston, TX

Active since October 11, 2007PECOS EnrolledAccepts Medicare Assignment
1910 WESTMEAD DRIVE, 3510, HOUSTON, TX 77077(832) 643-3256(281) 809-5854 Get Directions Write a Review

NPPES record last updated: October 10, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Jack J Henderson Lpc NPPES

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

MR. JACK J HENDERSON LPC (NPI 1891983151) is an individual professional provider in Houston, Texas, licensed in Texas (11678) and active in the NPI registry since October 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1990).

NPPES Registry Identity

NPI1891983151
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. JACK J HENDERSONCredential: LPC
Location Address1910 WESTMEAD DRIVE, 3510Houston, TX 77077-4724
Mailing Address1910 Westmead Drive, 3510Houston, TX 77077-4724 · (832) 643-3256 · Fax (281) 809-5854
Fax(281) 809-5854
Sole ProprietorYes
Medical School CMSOtherGraduated 1990
Enumeration DateOctober 11, 2007
Last NPPES UpdateOctober 10, 2014
✔ NPI 1891983151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in TX · 11678
Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License 3334 (TX)
1910 WESTMEAD DRIVE, Houston, TX 77077

Other Identifiers 1

Medicaid112950407TX

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Jack J Henderson Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4284957291
PECOS Enrollment IDI20240419003585
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Jack Henderson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Prescribing (Medical)
2626 S LOOP W STE 430
Houston, TX 77054
  • Reassigned Medicare billing, Texas enrollment
  • 6 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
4002 KNOTTYNOLD LN
Houston, TX 77053
  • Reassigned Medicare billing, Texas enrollment
  • 2 clinicians in this Medicare group
Psychologist
2332 GALIANO ST FL 2
Coral Gables, FL 33134
  • Reassigned Medicare billing, Texas enrollment
  • 79 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.

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 Jack Henderson's NPI number?

The NPI number for Jack Henderson is 1891983151. It was assigned to this individual provider in the NPPES registry on October 11, 2007.

Where is Jack Henderson located?

Jack Henderson practices at 1910 Westmead Drive 3510, Houston, TX 77077. The listed phone number is (832) 643-3256.

What is Jack Henderson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Jack Henderson enrolled in Medicare?

Yes. Jack Henderson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jack Henderson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jack Henderson reassigns Medicare benefits to 3 organizations: My Bright Future, LLC (Houston, TX), Your Opportunities Unlimited Inc (Houston, TX) and Sailor Health Medical PA (Coral Gables, FL). Each 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 Jack Henderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jack Henderson accept?

Health plans from Cigna Healthcare, Oscar Insurance Company and UnitedHealthcare list Jack 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 Jack Henderson was last updated on October 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.