Alexis Marie Vicchio, MS

Primary specialty

Art TherapistTaxonomy code 221700000X

License

25-165 Issued in VA

Practice address

13655 Dulles Technology Dr Ste 120
Herndon, VA 20171-4634

Phone

(571) 665-4025

NPI assigned

Jul 24, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Miss Lexie Marie Vicchio Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Afshar Brothers Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Herndon, VA
  • NPI 1629787809
  NPD

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

{
    "created_epoch": "1753315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1033091640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43710 MINK MEADOWS ST",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201523629",
            "telephone_number": "703-389-3723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13655 DULLES TECHNOLOGY DR STE 120",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201714634",
            "telephone_number": "571-665-4025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICCHIO",
        "first_name": "ALEXIS",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-24",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0704017793",
            "primary": false
        },
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "VA",
            "license": "25-165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEXIE",
            "last_name": "VICCHIO",
            "middle_name": "MARIE",
            "prefix": "MISS",
            "credential": "MS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Vajeh Vatankhahi, DC
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• Mojdeh Vessali, DDS
• Kristin Vidwans, P.A.
• Kimtracy Villarin, BCBA, LBA
• Ellen Grace Villaver, MSPT, DPT
• Virginia CVS Pharmacy LLC
• Virginia CVS Pharmacy, L.L.C.

• Art Therapist in Herndon, VA
• Providers in Herndon, VA by specialty
• Art Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.

Verify at the official NPI Registry.