Individual provider Active NPI

Rochelle Henderson-Clark, PHD

  • Professional Counselor
  • Virginia Beach, VA
National Provider Identifier
1821570300
Registry record updated Aug 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701005812 Issued in VA
Practice address
800 Seahawk Cir Ste 110
Virginia Beach, VA 23452-7818
Phone
(757) 301-9714
NPI assigned
Aug 31, 2018
Last updated
Aug 31, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701005812 VA Primary

Addresses

Primary practice location

800 Seahawk Cir Ste 110
Virginia Beach, VA 23452-7818

Mailing address

903 Prestige CT
Newport News, VA 23602-9437
Phone (757) 329-0862

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0701005812VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
A Step Beyond Clinical Services LLC CurrentSince Jan 10, 2021 Accepting new patients
Here2Help Community Services LLC Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1535673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535673600000",
    "number": "1821570300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 PRESTIGE CT",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236029437",
            "telephone_number": "757-329-0862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 SEAHAWK CIR STE 110",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234527818",
            "telephone_number": "757-301-9714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON-CLARK",
        "first_name": "ROCHELLE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-31",
        "last_updated": "2018-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701005812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.