Active NPI
Alyssa Danel Medina
- Professional Counselor
- Virginia Beach, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701010018
- Practice address
- 4831 Columbus St Unit 61202
Virginia Beach, VA 23466-1217 - Phone
- (757) 797-4140
- NPI assigned
- Oct 24, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | 0701010018 | VA | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 2, 2024 through Jan 2, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0701010018 | VA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoenix Counseling Services, LLC | Current | Accepting new patients |
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
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.
-
- Mental Health Counselor
- Virginia Beach, VA
- NPI 1346096609
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773360000000",
"number": "1437758075",
"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"
},
{
"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"
}
],
"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": {
"last_name": "MEDINA",
"first_name": "ALYSSA",
"middle_name": "DANEL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-24",
"last_updated": "2026-03-13",
"certification_date": "2026-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701010018",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Virginia Beach, VA
- Medical Communication Technology
- Medical Facilities of America Lvii (Bayside Health & Rehabilitation Center)
- Medical Facilities of America VI & Xiii (Virginia Beach Healthcare & Rehabilitation Center)
- Medicina Mentis Ad Gloriam Dei PLLC
- Karla Flavia Medina Perez
- Janna Patricia Diamse Medina, RBT
- Riya Medley
- Rosie Burnett Medley, LCSW
- Medplus LLC
- Mindy Engracia Medrana, M.S., CF-SLP
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.