Individual provider Active NPI

Melissa Mary Sykes, LPC, CSAC, ATR

  • Professional Counselor
  • Norfolk, VA
National Provider Identifier
1497210843
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701008469 Issued in VA
Practice address
821 W 21St St Ste 209
Norfolk, VA 23517-1500
Phone
(757) 578-5493
Fax
(757) 585-3521
NPI assigned
Feb 8, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Counselor 101Y00000X
Addiction (Substance Use Disorder) Counselor 101YA0400X 0710103231 VA
Art Therapist 221700000X 18-017 VA
Professional Counselor 101YP2500X 0701008469 VA Primary

Addresses

Primary practice location

821 W 21St St Ste 209
Norfolk, VA 23517-1500

Mailing address

435 Virginian Dr
Norfolk, VA 23505-4240
Phone (757) 630-5624

Other names 1

  • Melissa Avant Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0710103231VAMDAddiction (Substance Use Disorder) Counselor
0701008469VAMDProfessional Counselor
18-017VAMDArt Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bold Ruler, LLC Counselor CurrentSince Jul 25, 2019 Accepting new patients

Locations

821 W 21st St
Ste 209
Norfolk, VA 23517
Phone (757) 280-1777

900 Granby St
Ste 274
Norfolk, VA 23510

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": "1549584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1497210843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 VIRGINIAN DR",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235054240",
            "telephone_number": "757-630-5624",
            "fax_number": "757-585-3521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 W 21ST ST STE 209",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235171500",
            "telephone_number": "757-578-5493",
            "fax_number": "757-585-3521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYKES",
        "first_name": "MELISSA",
        "middle_name": "MARY",
        "credential": "LPC, CSAC, ATR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-08",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0710103231",
            "primary": false
        },
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "VA",
            "license": "18-017",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701008469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "AVANT",
            "credential": "LPC, CSAC, ATR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; 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.