Individual provider Active NPI

Lynesha Womble, LPC

  • Professional Counselor
  • Norfolk, VA
National Provider Identifier
1578207643
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701013225 Issued in VA
Practice address
999 Waterside Dr Ste 2525
Norfolk, VA 23510-3316
Phone
(757) 335-6176
NPI assigned
Apr 25, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Doula 374J00000X
Professional Counselor 101YP2500X 0701013225 VA Primary

Addresses

Primary practice location

999 Waterside Dr Ste 2525
Norfolk, VA 23510-3316

Mailing address

1832 Kempsville Road Suite 112 #22
Virginia Beach, VA 23464-1886
Phone (757) 335-6176

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
I20250516000910 VA Practitioner - Mental Health Counselor 2769900455 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0701013225VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ethereal Touch LLC Doula CurrentSince Apr 1, 2025 Accepting new patients
City of Virginia Beach CurrentSince Mar 13, 2025 Accepting new patients
City of Virginia Beach CurrentSince Mar 13, 2025 Accepting new patients

Locations

3432 Virginia Beach Blvd
Virginia Beach, VA 23452
Phone (757) 385-0684

1832 Kempsville Rd
Ste 112
Virginia Beach, VA 23464
Phone (757) 255-8527

409 Birdneck Cir
Virginia Beach, VA 23451
Phone (757) 385-6910

3143 Magic Hollow Blvd
Ste 200
Virginia Beach, VA 23453
Phone (757) 219-2133

297 Independence Blvd
Ste 126
Virginia Beach, VA 23462
Phone (757) 385-0511

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/9229a1fd-2cd1-41dc-9da8-258046291286/

Organizations & group practices 3

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": "1650844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1578207643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1832 KEMPSVILLE ROAD SUITE 112 #22",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234641886",
            "telephone_number": "757-335-6176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 WATERSIDE DR STE 2525",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235103316",
            "telephone_number": "757-335-6176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOMBLE",
        "first_name": "LYNESHA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-25",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701013225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.