Individual provider Active NPI

Alyssa Danel Medina

  • Professional Counselor
  • Virginia Beach, VA
National Provider Identifier
1437758075
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701010018 Issued in VA
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

Updated by the provider on Mar 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
0701010018VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Counseling Services, LLC CurrentSince Sep 8, 2024 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.

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

Sources for this page

Verify at the official NPI Registry.