Organization Active NPI

Breakthrough Glow, LLC

  • Mental Health Counselor
  • Virginia Beach, VA
National Provider Identifier
1235997164
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
BREAKTHROUGH GLOW, LLC
Practice address
460 Investors PL Ste 106
Virginia Beach, VA 23452-1166
Phone
(757) 996-1837
Fax
(757) 665-2855
NPI assigned
Mar 6, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2026

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

Authorized official

Name
Alycia Margaret Archer, MA LPCNPI 1841067352
Title
Chief Executive Officer
Phone
(757) 996-1837

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Adult Mental Health Clinic/Center 261QM0850X

Addresses

Primary practice location

460 Investors PL Ste 106
Virginia Beach, VA 23452-1166

Mailing address

PO Box 4510
Norfolk, VA 23523-0510
Phone (757) 996-1837

Other practice location 1

701 Berkley Avenue Ext
Norfolk, VA 23523-1509
Phone (757) 545-5963 ext. 302

Other names 1

  • Breakthrough Glow Counseling Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260218001563 VA Part B Supplier - Clinic/Group Practice 6002396017 Receives reassigned benefits from 1 practitioner
Practice locations: Virginia Beach, VA

National Provider Directory

National Provider Directory

Locations

1401A Melon St
Norfolk, VA 23523

1401B Melon St
Norfolk, VA 23523

701 Berkley Avenue Ext
Norfolk, VA 23523
Phone 7575455963 ext. 302

460 Investors Pl
Ste 106
Virginia Beach, VA 23452
Phone (757) 309-4688

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1709683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778112000000",
    "number": "1235997164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4510",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235230510",
            "telephone_number": "757-996-1837",
            "fax_number": "757-665-2855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 INVESTORS PL STE 106",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234521166",
            "telephone_number": "757-996-1837",
            "fax_number": "757-665-2855"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 Berkley Avenue Ext",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235231509",
            "country_code": "US",
            "telephone_number": "757-545-5963 x302",
            "fax_number": "213-867-8466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BREAKTHROUGH GLOW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-06",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A",
        "authorized_official_last_name": "ARCHER",
        "authorized_official_first_name": "ALYCIA",
        "authorized_official_middle_name": "MARGARET",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "757-996-1837",
        "authorized_official_credential": "MA LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Breakthrough Glow Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.