Individual provider Active NPI

Victoria Burgess Holroyd, LPC, LMHC, PHD

  • Mental Health Counselor
  • Norfolk, VA
National Provider Identifier
1861600959
Registry record updated Mar 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
002824 Issued in NY
Practice address
4615 Pleasant Ave
Suite B
Norfolk, VA 23518-2150
Phone
(757) 788-2800
Fax
(757) 788-2800
NPI assigned
May 20, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701005563 VA
Mental Health Counselor 101YM0800X 002824 NY Primary

Addresses

Primary practice location

4615 Pleasant Ave
Suite B
Norfolk, VA 23518-2150

Mailing address

4615 Pleasant Ave
Suite B
Norfolk, VA 23518-2150
Phone (757) 788-2800

Other names 1

  • Victoria Burgess Palmisano Other 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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0701005563VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Relationship Center of Hampton Roads Current Accepting new patients
The Mental Wellness and Research Institute LLC PastSince Apr 1, 2020 Accepting new patients

Locations

4615 Pleasant Ave
Unit B
Norfolk, VA 23518
Phone (757) 291-8126

Organizations & group practices 2

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": "1179619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553644800000",
    "number": "1861600959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4615 PLEASANT AVE",
            "address_2": "SUITE B",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235182150",
            "telephone_number": "757-788-2800",
            "fax_number": "757-788-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4615 PLEASANT AVE",
            "address_2": "SUITE B",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235182150",
            "telephone_number": "757-788-2800",
            "fax_number": "757-788-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLROYD",
        "first_name": "VICTORIA",
        "middle_name": "BURGESS",
        "name_prefix": "Dr.",
        "credential": "LPC, LMHC, PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-20",
        "last_updated": "2019-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701005563",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "002824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICTORIA",
            "last_name": "PALMISANO",
            "middle_name": "BURGESS",
            "credential": "LPC, LMHC, PHD",
            "code": "5",
            "type": "Other 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 Mar 27, 2019; 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.