Individual provider

Davetta Henderson, PSYD, LMHC

Mental Health Counselor Medicare enrolled

Davetta Henderson, PSYD, LMHC is a Mental Health Counselor in Fort Worth, TX, registered under NPI 1164069829. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 4115 E LANCASTER AVE, Fort Worth, TX 76103. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

4115 E LANCASTER AVE, Fort Worth, TX 76103 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
91192 TX Mental Health Counselor primary
39003653A IN Mental Health Counselor

Licences are recorded in 2 states: TX, IN. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Mental Health Counselor
PAC ID
0941649628

Medicare enrolment is recorded as approved under the provider type Practitioner - Mental Health Counselor. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 2 states

This provider holds licences in 2 states: Indiana and Texas. The practice address on file is in Fort Worth, TX, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

IN Indiana
Licence
39003653A
Specialty
Mental Health Counselor
Verify with the IN board →
TX Texas practice address
Licence
91192
Specialty
Mental Health Counselor
Verify with the TX board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Mental Health covers

Definition to come... NUCC Health Care Provider Taxonomy, code 101YM0800X
Behavioral Health & Social Service Providers Counselor Mental Health

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
101YM0800X Mental Health Counselor Mental Health 91192 TX primary
101YM0800X Mental Health Counselor Mental Health 39003653A IN

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1164069829 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateDec 2, 2019
Last updatedMar 22, 2024
StatusActive
Sole proprietorYes
CredentialPSYD, LMHC
Practice address 4115 E LANCASTER AVE
Fort Worth, TX 76103
(817) 796-7370
Mailing address 1800 N MERIDIAN ST STE 505
Indianapolis, IN 46202
This record was updated on Mar 22, 2024, which is recent enough that the contact details are likely still accurate.

Number check

1164069829 passes the NPI check digit test The final digit 9 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 6 4 0 6 9 8 2
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 3 4 0 6 9 8 4

Sum = 61 · next multiple of 10 = 70 · check digit = 9 · actual last digit = 9

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1164069829?
NPI 1164069829 is the National Provider Identifier assigned to Davetta Henderson, PSYD, LMHC in Fort Worth, TX. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Mental Health cover?
Definition to come...
How do I contact Davetta Henderson, PSYD, LMHC?
The phone number on file with NPPES is (817) 796-7370, last updated Mar 22, 2024. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Davetta Henderson, PSYD, LMHC accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1164069829 a valid number?
Yes. 1164069829 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.