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MICHAELA SIMONE HENDERSON MS, LCMHCA, NCC
NPI 1912633801
Counselor - Mental Health in Winston Salem, NC

Active since July 25, 2022
250 EXECUTIVE PARK BLVD STE 120, WINSTON SALEM, NC 27103(336) 770-2477 Get Directions Write a Review

NPPES record last updated: November 10, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 10, 2023, Jul 25, 2022 (2 updates tracked since 2022).

About Michaela Simone Henderson Ms, Lcmhca, Ncc NPPES

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

MICHAELA SIMONE HENDERSON MS, LCMHCA, NCC (NPI 1912633801) is an individual mental health provider in Winston Salem, North Carolina and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1912633801
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMICHAELA SIMONE HENDERSONCredential: MS, LCMHCA, NCC
Location Address250 EXECUTIVE PARK BLVD STE 120Winston Salem, NC 27103-1534
Mailing Address250 Executive Park Blvd Ste 120Winston Salem, NC 27103-1534 · (336) 770-2477
Phone(336) 770-2477
Sole ProprietorYes
Enumeration DateJuly 25, 2022
Last NPPES UpdateNovember 10, 20232 updates tracked since enumeration
NPPES CertifiedNovember 10, 2023
✔ NPI 1912633801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
250 EXECUTIVE PARK BLVD STE 120, Winston Salem, NC 27103
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Other Providers at the Same Location NPPES 15

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

LISA PATRICE SHELTON MS
Counselor (Mental Health)
250 EXECUTIVE PARK BLVD STE 120
WINSTON SALEM, NC 27103
Forsyth County (336) 770-2477
AVA LILYAN COX LCSWA
Social Worker (Clinical)
250 EXECUTIVE PARK BLVD STE 120
WINSTON SALEM, NC 27103
Forsyth County (336) 770-2477
BRENDAN JAMES BOATMAN
Social Worker (Clinical)
250 EXECUTIVE PARK BLVD STE 120
WINSTON SALEM, NC 27103
Forsyth County (336) 608-4037
MONTEOUS JERELL CHEELY LMFTA
Marriage & Family Therapist
250 EXECUTIVE PARK BLVD STE 120
WINSTON SALEM, NC 27103
Forsyth County (336) 702-4777
LSBF PROFESSIONAL COUNSELING SERVICES, PLLC
Community/Behavioral Health
250 EXECUTIVE PARK BLVD STE 120
WINSTON SALEM, NC 27103
Forsyth County (336) 266-3289
ELIZABETH WAGNER MECHAM LCMHC-A
Counselor (Mental Health)
250 EXECUTIVE PARK BLVD STE 120
WINSTON SALEM, NC 27103
Forsyth County (336) 608-4037
KEOTIA EVETTE SMITHERMAN CASTERLOW LCMHCA
Counselor (Mental Health)
250 EXECUTIVE PARK BLVD STE 120
WINSTON SALEM, NC 27103
Forsyth County (336) 509-7616
KESEAN LEGRANT MOBLEY LCSWA
Social Worker (Clinical)
250 EXECUTIVE PARK BLVD STE 120
WINSTON SALEM, NC 27103
Forsyth County (336) 770-2477

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 Michaela Henderson's NPI number?

The NPI number for Michaela Henderson is 1912633801. It was assigned to this individual provider in the NPPES registry on July 25, 2022.

Where is Michaela Henderson located?

Michaela Henderson practices at 250 Executive Park Blvd Ste 120, Winston Salem, NC 27103. The listed phone number is (336) 770-2477.

What is Michaela 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 Michaela Henderson was last updated on November 10, 2023. 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.