IndividualActive
Nicole Burns-Henderson, ASSOCIATE MFT
NPI 1558857052 · Mental Health Counselor · Los Angeles, CA
Provider details
- NPI number
- 1558857052
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- ASSOCIATE MFT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 74236 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
1704 W Manchester Ave Ste 202a
Los Angeles, CA 90047-3057
Phone: (310) 650-7940
Street-level locationGet directions
Mailing address
805 Glenway Dr Unit 104
Inglewood, CA 90302-2724
Registry dates
- Enumerated
- 2018-07-08
- Last updated
- 2018-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.