NPIMap

Organization Active NPI

Phoenix Counseling Services, LLC

  • Mental Health Counselor
  • Virginia Beach, VA
National Provider Identifier
1346096609
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
PHOENIX COUNSELING SERVICES, LLC
Practice address
4831 Columbus St Unit 61202
Virginia Beach, VA 23466-1217
Phone
(757) 797-4140
Fax
(757) 432-3280
NPI assigned
Apr 27, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2026

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

Authorized official

Name
Dr. Alyssa Medina, PHD, LPCNPI 1437758075
Title
President
Phone
(757) 797-4140

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

4831 Columbus St Unit 61202
Virginia Beach, VA 23466-1217

Mailing address

4831 Columbus St Unit 61202
Virginia Beach, VA 23466-1217
Phone (757) 797-4140

Other practice location 1

1492 S Independence Blvd Ste 100
Virginia Beach, VA 23462-5252
Phone (757) 797-4140

National Provider Directory

National Provider Directory

Locations

1492 S Independence Blvd
Ste 100
Virginia Beach, VA 23462
Phone (757) 632-0974

4831 Columbus St
Unit 61202
Virginia Beach, VA 23466
Phone (757) 797-4140

Practitioners & affiliated clinicians

Practitioners 1

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": "1714176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773360000000",
    "number": "1346096609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4831 COLUMBUS ST UNIT 61202",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234661217",
            "telephone_number": "757-797-4140",
            "fax_number": "757-432-3280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4831 COLUMBUS ST UNIT 61202",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234661217",
            "telephone_number": "757-797-4140",
            "fax_number": "757-432-3280"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1492 S Independence Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234625252",
            "country_code": "US",
            "telephone_number": "757-797-4140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PHOENIX COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-27",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "ALYSSA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-797-4140",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.