Individual provider Active NPI

Mellissa L Miller, LPC

  • Professional Counselor
  • Virginia Beach, VA
National Provider Identifier
1780193938
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701007277 Issued in VA
Practice address
2697 International Pkwy BLDG 1-100
Virginia Beach, VA 23452-7803
Phone
(757) 452-4946
Fax
(757) 470-5910
NPI assigned
Sep 20, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 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 0701007277 VA Primary

Addresses

Primary practice location

2697 International Pkwy BLDG 1-100
Virginia Beach, VA 23452-7803

Mailing address

2697 International Pkwy BLDG 1-100
Virginia Beach, VA 23452-7803
Phone (757) 452-4946

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
I20240307001253 VA Practitioner - Mental Health Counselor 0941607840 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2697 International Pkwy
Suite 100 1
Virginia Beach, VA 23452-7857
Phone (757) 729-2640

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Holistic Care Counseling & Consulting CurrentSince Jan 1, 2024 Accepting new patients

Locations

2697 International Pkwy
Ste 100-1
Virginia Beach, VA 23452
Phone (757) 729-2640

2697 International Pkwy
Bldg 1100
Virginia Beach, VA 23452
Phone (757) 452-4946

328 Office Square Ln
Ste 103
Virginia Beach, VA 23462

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": "1505865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1780193938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2697 INTERNATIONAL PKWY BLDG 1-100",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234527803",
            "telephone_number": "757-452-4946",
            "fax_number": "757-470-5910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2697 INTERNATIONAL PKWY BLDG 1-100",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234527803",
            "telephone_number": "757-452-4946",
            "fax_number": "757-470-5910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MELLISSA",
        "middle_name": "L",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-20",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701007277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.