Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Sandra Jackson Henry

Individual provider Counselor · NPI 1124476510

Mrs. Sandra Jackson Henry is a Mental Health Counselor in Simpsonville, South Carolina. Qualified in 2010, 16 years ago. Works from 2 locations. Licensed in South Carolina.

Years since qualifying
16
Licensed in
SC
In the registry since
2016
Specialties on file
3
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Practice location Address checks out

879 NE Main St Ste A
Simpsonville, SC 29681-2056
Phone: (864) 688-9416
Fax: (844) 300-6266
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3053 Cobblestone Street, Effingham, SC 29541-4483 — (803) 609-7951

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 8841 (SC)
Counselor Taxonomy 101Y00000X · Licence 8841 (SC)
Professional Counselor Taxonomy 101YP2500X · Licence 8841 (SC)

Record details

NPI number1124476510
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 26, 2016
Last updated in NPPESAugust 4, 2023
Certification dateAugust 3, 2023
Mailing address1735 Saint Julian Pl Ste 300, Columbia, SC 29204-2402

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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