Jeff Henderson, PHD
NPI 1508964784ActiveIndividual· Psychologist, Counseling· Prescott, AZ
Psychologist, Counseling (PHD) in Prescott, Arizona, licensed in AZ and UT, with an NPI issued in September 2006. Medicare paid $51,568 for services to 57 patients in 2024.
Overview
| NPI | 1508964784 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD |
| Sole proprietor | No |
| NPI issued | Sep 20, 2006 |
| Last updated in NPPES | Dec 15, 2019 |
| Certified by provider | Dec 15, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Counseling Primary | 103TC1900X | 4041 | AZ |
| Psychologist, Counseling | 103TC1900X | 5653842-2501 | UT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (AZ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 57 |
|---|---|
| Services billed | 632 across 5 procedure codes |
| Paid by Medicare | $51,568 |
Education and affiliations
| Graduation year | 2002 |
|---|---|
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |
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