Individual provider Active NPI

Lori Palcic

  • Psychiatric/Mental Health Nurse Practitioner
  • Virginia Beach, VA
National Provider Identifier
1427474014
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024171568 Issued in VA
Practice address
2380 Liberty Way Ste 200
Virginia Beach, VA 23456-3496
Phone
(757) 356-2884
NPI assigned
Mar 6, 2014
Last updated
Aug 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024171568 VA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024171568 VA Primary

Addresses

Primary practice location

2380 Liberty Way Ste 200
Virginia Beach, VA 23456-3496

Mailing address

2380 Liberty Way Ste 200
Virginia Beach, VA 23456-3496
Phone (757) 356-2884

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140515001168 VA Practitioner - Nurse Practitioner 3779706981 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0024171568VAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
LP Psych & Wellness, PLLC Family CurrentSince Jun 29, 2025 Accepting new patients
Tidewater Physicians Multispecialty Group PC CurrentSince Sep 10, 2018 Accepting new patients
Reboot Functional Health Care Corporation CurrentSince Jun 22, 2022 Accepting new patients
Beach Counseling, LLC CurrentSince Apr 5, 2021 Accepting new patients
Tidewater Physicians Multispecialty Group PC CurrentSince Sep 10, 2018 Accepting new patients

Locations

101 York Crossing Rd
#A
Grafton, VA 23692
Phone (757) 898-7737

827 Diligence Dr
Ste 100
Newport News, VA 23606

860 Omni Blvd
Ste 303
Newport News, VA 23606
Phone (757) 232-8777

2380 Liberty Way
Ste 200
Virginia Beach, VA 23456
Phone (757) 356-2884

2528 Las Brisas Dr
Virginia Beach, VA 23456
Phone (757) 301-6985

4501 N Witchduck Rd
Ste B
Virginia Beach, VA 23455
Phone (757) 333-7625

813 Independence Blvd
Ste 3L
Virginia Beach, VA 23455
Phone (757) 233-2438

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BGFHDD
  • Direct secure messaging: lori.palcic.1@29909.direct.athenahealth.com

Organizations & group practices 5

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": "1394064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1427474014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2380 LIBERTY WAY STE 200",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234563496",
            "telephone_number": "757-356-2884",
            "fax_number": "888-236-1804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2380 LIBERTY WAY STE 200",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234563496",
            "telephone_number": "757-356-2884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALCIC",
        "first_name": "LORI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-06",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024171568",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024171568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.