Individual provider Active NPI

Alyssa Wall, LPC

  • Professional Counselor
  • Richmond, VA
National Provider Identifier
1679272546
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701011546 Issued in VA
Practice address
2002 Bremo Rd Ste 110
Richmond, VA 23226-2441
Phone
(804) 482-0583
Fax
(804) 525-9580
NPI assigned
Feb 28, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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 0701011546 VA Primary

Addresses

Primary practice location

2002 Bremo Rd Ste 110
Richmond, VA 23226-2441

Mailing address

3119 McCabe CT
Chester, VA 23831-7026
Phone (804) 482-0583

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
I20251016002382 VA Practitioner - Mental Health Counselor 1759878333 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

8003 Franklin Farms Dr
Suite 101And131
Henrico, VA 23229-5107

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0701011546VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Counseling Richmond PLLC Professional CurrentSince Sep 19, 2025 Accepting new patients

Locations

8003 Franklin Farms Dr
Richmond, VA 23229
Phone (804) 716-0428

8003 Franklin Farms Dr
Rm 101
Richmond, VA 23229
Phone (804) 716-0428

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": "1677542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1679272546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3119 MCCABE CT",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238317026",
            "telephone_number": "804-482-0583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 BREMO RD STE 110",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232262441",
            "telephone_number": "804-482-0583",
            "fax_number": "804-525-9580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALL",
        "first_name": "ALYSSA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-28",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701011546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.