Alycia Archer, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0701013092 Issued in VA

Practice address

1401 Melon St
Norfolk, VA 23523-2009

Phone

(757) 996-1837

NPI assigned

Dec 5, 2023

Last updated

Dec 11, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Breakthrough Glow, LLC

  dba Breakthrough Glow Counseling Services

  • Mental Health Counselor
  • Virginia Beach, VA
  • NPI 1235997164
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1701734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1841067352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 4510",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235239998",
            "telephone_number": "757-996-1837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 MELON ST",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235232009",
            "telephone_number": "757-996-1837"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Goode Way",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "VA",
            "postal_code": "237042266",
            "country_code": "US",
            "telephone_number": "757-392-2334",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARCHER",
        "first_name": "ALYCIA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-05",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701013092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krystal Mai Arbogast, MS, RN, AGACNP-BC
• Arborlight Health & Wellness, PLLC
• Bethany Arcand
• Jason Paul Arceneaux, IDC
• Pamela Jeanne Arceneaux, IDC
• David Fitzgerald Archer, MD
• Tammy Archibald, IDC
• Katelyn Marie Ard, RRT
• Megan Marie Arevalo, DNP, AGACNP-BC
• Jaime Sa Moreira de Argila, M.D.

• Mental Health Counselor in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.