Individual provider Active NPI

Alyssa Joy Penrod, LMFT

  • Marriage & Family Therapist
  • Forest, VA
National Provider Identifier
1457235525
Registry record updated Aug 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
0717002476 Issued in VA
Practice address
1075 Light Blvd
Forest, VA 24551-5094
Phone
(888) 808-6050
NPI assigned
Aug 2, 2025
Last updated
Aug 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 0717002476 VA Primary

Addresses

Primary practice location

1075 Light Blvd
Forest, VA 24551-5094

Mailing address

1075 Light Blvd
Forest, VA 24551-5094
Phone (888) 808-6050

Other names 1

  • Alyssa Joy Brown Former name

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250915000819 VA Practitioner - Marriage and Family Therapist 3274036223 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Light Counseling, Inc.Group PAC ID 1052702065, 23 clinicians

Practice addresses (Care Compare)

1075 Light Blvd
Forest, VA 24551-5094
Phone (434) 384-1594

20564 Timberlake Rd
Suite B
Lynchburg, VA 24502-7246
Phone (434) 384-1594

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Light Counseling, Inc. Marriage & Family Therapist CurrentSince Jul 30, 2025 Accepting new patients

Locations

1075 Light Blvd
Forest, VA 24551
Phone (832) 794-0515

20564 Timberlake Rd
Ste B
Lynchburg, VA 24502
Phone (434) 384-1591

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, 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": "1754092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755993600000",
    "number": "1457235525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 LIGHT BLVD",
            "city": "FOREST",
            "state": "VA",
            "postal_code": "245515094",
            "telephone_number": "888-808-6050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 LIGHT BLVD",
            "city": "FOREST",
            "state": "VA",
            "postal_code": "245515094",
            "telephone_number": "888-808-6050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENROD",
        "first_name": "ALYSSA",
        "middle_name": "JOY",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-02",
        "last_updated": "2025-08-24",
        "certification_date": "2025-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "VA",
            "license": "0717002476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSSA",
            "last_name": "BROWN",
            "middle_name": "JOY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Forest, VA

Sources for this page

Verify at the official NPI Registry.