Individual provider Active NPI

Nakeema Patrick, LPC

  • Counselor
  • Lynchburg, VA
National Provider Identifier
1316569106
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
18321 Forest Rd
Lynchburg, VA 24502-4359
Phone
(434) 528-9711
NPI assigned
May 14, 2020
Last updated
Dec 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU Primary
Mental Health Counselor 101YM0800X 0701008792 VA

Addresses

Primary practice location

18321 Forest Rd
Lynchburg, VA 24502-4359

Mailing address

1020 Cabell St
Lynchburg, VA 24504-1003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20241216001457 VA Practitioner - Mental Health Counselor 8022544972 Reassigns benefits to 3 organizations
I20260407002771 TX Practitioner - Mental Health Counselor 8022544972 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Revive Behavioral HealthGroup PAC ID 8729516125, 5 clinicians

Practice addresses (Care Compare)

1701 E Parham Rd
Richmond, VA 23228-2201
Phone (804) 261-4163

24107 Sequoia Rd
North Dinwiddie, VA 23803-8715

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0701008792VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Watchtower Counseling LLC Mental Health CurrentSince Jul 17, 2022 Accepting new patients
Behavioral Health Services of Texas LLC Current Accepting new patients
Otl Community Services Mental Health CurrentSince Nov 6, 2024 Accepting new patients
Revive Behavioral Health CurrentSince Oct 31, 2024 Accepting new patients
Family Preservation Services LLC PastSince May 17, 2020 Accepting new patients
Otl Community Services Past Accepting new patients

Locations

3050 Post Oak Blvd
Ste 510
Houston, TX 77056
Phone (832) 482-9603

9201 Arboretum Pkwy
Ste 300
North Chesterfield, VA 23236
Phone (804) 520-4600

416 3rd St
Ste D
Petersburg, VA 23803
Phone (804) 653-7009

1701 E Parham Rd
Richmond, VA 23228
Phone (804) 261-4163

Organizations & group practices 7

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": "1589414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764892800000",
    "number": "1316569106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 CABELL ST",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245041003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18321 FOREST RD",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245024359",
            "telephone_number": "434-528-9711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATRICK",
        "first_name": "NAKEEMA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-14",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701008792",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynchburg, VA

Sources for this page

Verify at the official NPI Registry.