=====================================================
General NPI Number Information
=====================================================
NPI Number | 1043877806
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | HENRY ESPINAL LMHC, LPC
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/28/2019
-----------------------------------------------------
Last Update Date | 12/30/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 67 HOME AVE
-----------------------------------------------------
City | RUTHERFORD
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07070-1727
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 201-429-5954
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 156 PARK AVE
-----------------------------------------------------
City | RUTHERFORD
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07070-6800
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 201-429-5954
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number | 012393
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number | 37PC01121900
-----------------------------------------------------
License Number State | NJ
-----------------------------------------------------