IndividualActive
Carly Henderson, M.A., LPC, LMHC
NPI 1194017764 · Professional Counselor · Portland, OR
Provider details
- NPI number
- 1194017764
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- M.A., LPC, LMHC
- Sex
- Female
- Sole proprietor
- No
- License
- C3645 (OR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3407 S Corbett Ave
Portland, OR 97239-4621
Phone: (971) 270-0658
Fax: (971) 244-7268
Street-level locationGet directions
Mailing address
1016 Se 12th Ave
Portland, OR 97214-2513
Registry dates
- Enumerated
- 2011-05-13
- Last updated
- 2024-02-21
- Certified
- 2024-02-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.