Active NPI
Carita Henderson
- Mental Health Counselor
- Woodbridge, VA
National Provider Identifier
1578359220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 12934 Harbor Dr Ste 104
Woodbridge, VA 22192-2930 - Phone
- (571) 207-6647
- NPI assigned
- Apr 18, 2025
- Last updated
- Apr 18, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | Primary |
Addresses
Primary practice location
12934 Harbor Dr Ste 104
Woodbridge, VA 22192-2930
Mailing address
20 Ashe Meadows Dr
Hampton, VA 23664-2075
Phone (757) 572-2908
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744934400000",
"number": "1578359220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 ASHE MEADOWS DR",
"city": "HAMPTON",
"state": "VA",
"postal_code": "236642075",
"telephone_number": "757-572-2908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12934 HARBOR DR STE 104",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221922930",
"telephone_number": "571-207-6647"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDERSON",
"first_name": "CARITA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-04-18",
"last_updated": "2025-04-18",
"certification_date": "2025-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodbridge, VA
- Helping Hands Homecare Services of Northern Virginia
- Helpinghandshomecare Services of Northern Virginia
- Hematology Oncology Care of Northern Virginia (Primary Care of Woodbridge)
- Belinda Theresa Hemby
- Tara Hemphill
- Taylor Monet Henderson
- Abigirl Amoako Hene
- Cynthia Hennigh, APRN-BC, CFNP
- Roger Hennigh, D.M.D.
- Henry a McCleary DC LLC (Dr Macs Wellness)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.