Active NPI
Breakthrough Glow, LLC
- Mental Health Counselor
- Virginia Beach, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alycia Margaret Archer, MA LPC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Mental Health Counselor
- Norfolk, VA
- NPI 1841067352
-
- Social Worker
- Virginia Beach, VA
- NPI 1760315048
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.