HENDERSON BEHAVIORAL HEALTH, INC. – Community/Behavioral Health Agency, NPI 1972533271

HENDERSON BEHAVIORAL HEALTH, INC. is a healthcare provider. based in Lauderdale lakes, Florida. specializing in Community/Behavioral Health Agency. The NPI Number for HENDERSON BEHAVIORAL HEALTH, INC. is 1972533271

Main info

Organization
Name
HENDERSON BEHAVIORAL HEALTH, INC.
NPI
1972533271
Phone
(954) 497-3850
Address
4740 N STATE ROAD 7 STE 201
Authorized Official
ERICA RICKETTS CFO
Enumeration Date
3 July 2006
Last Update Date
20 January 2012
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:19State licenses:0Digital endpointsOther names

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Provider Addresses for HENDERSON BEHAVIORAL HEALTH, INC.

  • State Road 7, Lauderdale Lakes, Broward County, Florida, 33319-5617, United States

    LAUDERDALE LAKES, FL 333195804

    Phone: (954) 497-3850

    Fax: (954) 497-3857

    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: 2004-01-13

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
O20040113000676OClinic/Group PracticeFLTBD

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 33319)

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Reviews

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Frequently asked questions

What NPI should I save for HENDERSON BEHAVIORAL HEALTH, INC.?
Save NPI 1972533271 if you need a stable reference for HENDERSON BEHAVIORAL HEALTH, INC..
Does this profile mean HENDERSON BEHAVIORAL HEALTH, INC. is currently active?
Yes — HENDERSON BEHAVIORAL HEALTH, INC. appears active in the national provider directory.
What field does HENDERSON BEHAVIORAL HEALTH, INC. work in?
You can think of HENDERSON BEHAVIORAL HEALTH, INC. as practicing within Community/Behavioral Health Agency. Clinical services aligned with this taxonomy classification.
Where is HENDERSON BEHAVIORAL HEALTH, INC.'s primary listing?
We display Lauderdale Lakes, Florida because that is what the record indicates for HENDERSON BEHAVIORAL HEALTH, INC..
Is this NPI for an individual or an organization?
This listing corresponds to an Organization.

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