MS. TAMMY S HENDERSON (PC) – Professional Counselor, NPI 1134471642

MS. TAMMY S HENDERSON (PC) is a healthcare provider. based in Sandusky, Ohio. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials PC. They hold a License No. C.0900588 (OH). The NPI Number for MS. TAMMY S HENDERSON (PC) is 1134471642

Main info

Female
15 Years Of Experience
Name
MS. TAMMY S HENDERSON (PC)
NPI
1134471642
Phone
(419) 626-9156
Address
1218 CLEVELAND RD
Enumeration Date
8 October 2012
Last Update Date
8 October 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4196269256
Graduation Year
2011 (15 years ago)
PAC ID
5092167635
Group Practice PAC ID
7315903853
Professional Enrollment ID
I20240118003258
Address ID
OH448704132SA1634XLINE300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

2,538 MENTAL HEALTH COUNSELOR in OH

Provider Addresses for MS. TAMMY S HENDERSON (PC)

  • 1218 CLEVELAND RD

    SANDUSKY, OH 448704200

    Phone: (419) 626-9156

    Fax: (419) 621-0099

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-01-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240118003258IMental Health CounselorOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44870)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7315903853View full group profile
NameSpecialtyState
P S Y C H I A T R YOH
Mental Health CounselorOH
Clinical Social WorkerOH
Mental Health CounselorOH

Reviews

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Frequently asked questions

What federal number belongs to MS. TAMMY S HENDERSON (PC)?
The federal identifier for MS. TAMMY S HENDERSON (PC) is NPI 1134471642.
Is MS. TAMMY S HENDERSON (PC) currently active in the NPI registry?
CMS-published data lists MS. TAMMY S HENDERSON (PC) as an active registrant.
Can you summarize MS. TAMMY S HENDERSON (PC)'s specialty in plain language?
Clinically, the directory lists MS. TAMMY S HENDERSON (PC) with Professional Counselor. Clinical services aligned with this taxonomy classification.
Does MS. TAMMY S HENDERSON (PC) practice in Ohio?
You will see Sandusky, Ohio on file for MS. TAMMY S HENDERSON (PC) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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