Isaac Jay Henderson, LPC, CSAC
NPI 1962974618ActiveIndividual· Counselor, Professional· Waukesha, WI
Counselor, Professional (LPC, CSAC) with Waukesha County, practicing in Waukesha, Wisconsin. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1962974618 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LPC, CSAC |
| Sole proprietor | Yes |
| NPI issued | Dec 19, 2018 |
| Last updated in NPPES | Jun 26, 2026 |
| Certified by provider | Jun 26, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | 5335-226 | WI |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | 16416-132 | WI |
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 - Mental Health Counselor (WI) |
|---|
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Mental Health Counselor |
Medical group
- Waukesha CountyWaukesha, WI · 30 clinicians
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