Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kimberly Faith Henderson, NCC, LPC-MHSPTEMP

Individual provider Professional Counselor · NPI 1871263921

Kimberly Faith Henderson, NCC, LPC-MHSPTEMP is a Mental Health Counselor in Memphis, Tennessee. Qualified in 2020, 6 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in Tennessee.

Years since qualifying
6
Licensed in
TN
In the registry since
2021
Specialties on file
2
What do these letters mean?
NCC — National Certified Counselor
A counsellor certified by the NBCC.

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Practice location Address checks out

5128 Jessie Lee Ln
Memphis, TN 38118-4521
Phone: (901) 290-8131
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 567 Cason Ln, Murfreesboro, TN 37128-4821 — (615) 573-1186

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 5170 (TN)
Professional Counselor Taxonomy 101YP2500X · Licence 5170 (TN)

Record details

NPI number1871263921
Entity typeIndividual (Type 1)
GenderFemale
Credentials NCC , LPC-MHSPTEMP
Sole proprietorYes
NPI enumeratedSeptember 20, 2021
Last updated in NPPESSeptember 20, 2021
Certification dateSeptember 19, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated

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