Individual provider Active NPI

Rebecca Leah Henderson, LMFT

  • Marriage & Family Therapist
  • Chester, VA
National Provider Identifier
1497224927
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
0717001752 Issued in VA
Practice address
4615 Dunkirk Dr
Chester, VA 23831-6814
Phone
(478) 972-0747
NPI assigned
Nov 14, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 10290 NC
Marriage & Family Therapist 106H00000X MFT001263 GA
Marriage & Family Therapist 106H00000X MT3630 FL
Marriage & Family Therapist 106H00000X 0717001752 VA Primary

Addresses

Primary practice location

4615 Dunkirk Dr
Chester, VA 23831-6814

Mailing address

4615 Dunkirk Dr
Chester, VA 23831-6814

Other identifiers 1

IdentifierTypeStateIssuer
30016314300002MedicaidVA

Other names 1

  • Rebecca Watson Frazier Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240410004081 VA Practitioner - Marriage and Family Therapist 9739425091 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Commonwealth Counseling Associates IncGroup PAC ID 0941288583, 207 clinicians

Practice addresses (Care Compare)

10710 Midlothian Tpke
Suite 127
North Chesterfield, VA 23235-4776
Phone (804) 220-0903

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MT3630FLMDMarriage & Family Therapist
MFT001263GAMDMarriage & Family Therapist
10290NCMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Counseling Associates Inc Marriage & Family Therapist CurrentSince Feb 23, 2024 Accepting new patients
Cornerstone Medical Assoc., LLC Past Accepting new patients
Personal Recovery Network LLC PastSince Aug 13, 2019 Accepting new patients

Locations

816 Greenbrier Cir
Ste 100
Chesapeake, VA 23320
Phone (757) 301-8747

9202 Center Oak Ct
Mechanicsvlle, VA 23116
Phone (804) 639-1112

10710 Midlothian Tpke
Ste 127
North Chesterfield, VA 23235
Phone (804) 220-0903

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1542153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1497224927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4615 DUNKIRK DR",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238316814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4615 DUNKIRK DR",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238316814",
            "telephone_number": "478-972-0747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "REBECCA",
        "middle_name": "LEAH",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-14",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "10290",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "MFT001263",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT3630",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "VA",
            "license": "0717001752",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30016314300002",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "FRAZIER",
            "middle_name": "WATSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chester, VA

Sources for this page

Verify at the official NPI Registry.