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AMY HENDERSON LCPC
NPI 1972926327
Counselor - Professional in Midlothian, IL

Active since January 21, 2014Opted out of Medicare · through Mar 1, 2028
4500 147TH ST, MIDLOTHIAN, IL 60445(708) 597-0032(708) 597-0649 Get Directions Write a Review

NPPES record last updated: January 21, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Amy Henderson Lcpc NPPES

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

AMY HENDERSON LCPC (NPI 1972926327) is an individual professional provider in Midlothian, Illinois, licensed in Illinois (180008943) and active in the NPI registry since January 2014. She has opted out of Medicare through March 1, 2028.

NPPES Registry Identity

NPI1972926327
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameAMY HENDERSONCredential: LCPC
Location Address4500 147TH STMidlothian, IL 60445-2646
Mailing Address4500 147th StMidlothian, IL 60445-2646 · (708) 597-0032 · Fax (708) 597-0649
Phone(708) 597-0032
Fax(708) 597-0649
Sole ProprietorYes
Enumeration DateJanuary 21, 2014
✔ NPI 1972926327 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in IL · 180008943
4500 147TH ST, Midlothian, IL 60445
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Amy Henderson Lcpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 1, 2024 through March 1, 2028.

Opt-Out Effective DateMarch 1, 2024
Opt-Out In Effect ThroughMarch 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

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.

MRS. LAUREN CZOCHARA LCPC
Counselor (Mental Health)
4500 147TH ST
MIDLOTHIAN, IL 60445
Cook County (708) 597-0032
ASSOCIATED COUNSELING, LLC
Psychologist
4500 147TH ST
MIDLOTHIAN, IL 60445
Cook County (708) 597-0032

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 Amy Henderson's NPI number?

The NPI number for Amy Henderson is 1972926327. It was assigned to this individual provider in the NPPES registry on January 21, 2014.

Where is Amy Henderson located?

Amy Henderson practices at 4500 147th St, Midlothian, IL 60445. The listed phone number is (708) 597-0032.

What is Amy Henderson's specialty?

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

Is Amy Henderson enrolled in Medicare?

No. Amy Henderson has opted out of Medicare through March 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Amy Henderson was last updated on January 21, 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.