Active NPI
Donnelle June Riccio-Huck, MS, LPC
- Professional Counselor
- Virginia Beach, VA
National Provider Identifier
1255445714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701002825
- Practice address
- 2697 International Pkwy Ste 107
Virginia Beach, VA 23452-7803 - Phone
- (757) 689-2680
- Fax
- (757) 689-2681
- NPI assigned
- Aug 19, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701002825 | VA | Primary |
Addresses
Primary practice location
2697 International Pkwy Ste 107
Virginia Beach, VA 23452-7803
Mailing address
2697 International Pkwy Ste 107
Virginia Beach, VA 23452-7803
Phone (757) 689-2680
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010127149 | Medicaid | VA |
Other names 1
- Donnelle Riccio
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
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0701002825 | VA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kimberly Brodie & Assoc., Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Counselor
- Virginia Beach, VA
- NPI 1144334772
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637107200000",
"number": "1255445714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2697 INTERNATIONAL PKWY STE 107",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234527803",
"telephone_number": "757-689-2680",
"fax_number": "757-689-2681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2697 INTERNATIONAL PKWY STE 107",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234527803",
"telephone_number": "757-689-2680",
"fax_number": "757-689-2681"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICCIO-HUCK",
"first_name": "DONNELLE",
"middle_name": "JUNE",
"name_prefix": "Mrs.",
"credential": "MS, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-19",
"last_updated": "2021-11-17",
"certification_date": "2021-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701002825",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010127149",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DONNELLE",
"last_name": "RICCIO",
"code": "2",
"type": "Professional Name"
}
]
}
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 Nov 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.