Individual provider Active NPI

Derek Sean Joyce, M.ED., LPC

  • Mental Health Counselor
  • Glen Allen, VA
National Provider Identifier
1164193348
Registry record updated Mar 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0701010856 Issued in VA
Practice address
100 Concourse Blvd Ste 111
Glen Allen, VA 23059-5642
Phone
(804) 374-9484
NPI assigned
Sep 27, 2021
Last updated
Mar 1, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0701010856 VA Primary

Addresses

Primary practice location

100 Concourse Blvd Ste 111
Glen Allen, VA 23059-5642

Mailing address

100 Concourse Blvd Ste 111
Glen Allen, VA 23059-5642
Phone (804) 374-9484

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
I20240315003669 VA Practitioner - Mental Health Counselor 4183060858 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Golay Health Ventures LLCGroup PAC ID 1355703257, 10 clinicians

Practice addresses (Care Compare)

100 Concourse Blvd
Suite 111
Glen Allen, VA 23059-5642
Phone (804) 374-9484

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

Practice roles

OrganizationSpecialtyStatusNew patients
Golay Health Ventures LLC Mental Health CurrentSince Jan 31, 2024 Accepting new patients
Family Insight Inc Mental Health PastSince Jun 28, 2024 Accepting new patients

Locations

100 Concourse Blvd
Ste 111
Glen Allen, VA 23059
Phone (804) 346-3200

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": "1632700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709251200000",
    "number": "1164193348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CONCOURSE BLVD STE 111",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230595642",
            "telephone_number": "804-374-9484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CONCOURSE BLVD STE 111",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230595642",
            "telephone_number": "804-374-9484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOYCE",
        "first_name": "DEREK",
        "middle_name": "SEAN",
        "credential": "M.ED., LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-27",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701010856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Allen, VA

Sources for this page

Verify at the official NPI Registry.