Individual provider Active NPI

Sandra Lee Holloway, LPC (PHD GENETICS)

  • Professional Counselor
  • Richmond, VA
National Provider Identifier
1972844413
Registry record updated Jun 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701014839 Issued in VA
Practice address
6800 Paragon PL Ste 237
Richmond, VA 23230-1651
Phone
(804) 562-9997
NPI assigned
Mar 7, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X TPMC1098 FL
Professional Counselor 101YP2500X PC010948 PA
Professional Counselor 101YP2500X 0701014839 VA Primary

Addresses

Primary practice location

6800 Paragon PL Ste 237
Richmond, VA 23230-1651

Mailing address

113 Clwyd Rd
Bala Cynwyd, PA 19004-2302
Phone (610) 660-0401

Other practice location 1

113 Clwyd Rd
Bala Cynwyd, PA 19004-2302
Phone (610) 660-0401

Other practice location 2

11835 Fishing Point Dr Ste 202
Newport News, VA 23606-2585
Phone (757) 243-1033

Other practice location 3

3433 Brambleton Ave Ste 201A
Roanoke, VA 24018-6527
Phone (540) 266-7550

Other practice location 4

1933 Thomson Dr
Lynchburg, VA 24501-1008
Phone (434) 616-6762

Other practice location 5

4445 Corporation Ln Ste 245
Virginia Beach, VA 23462-3676
Phone (757) 233-0003

Other practice location 6

130 Carriebrooke Dr
Stephens City, VA 22655-6000
Phone (540) 486-4653

Other practice location 7

7960 Donegan Dr Ste 200
Manassas, VA 20109-8236
Phone (571) 208-0592

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
I20260227004114 VA Practitioner - Mental Health Counselor 7517449416 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Drexel University College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4560 S Blvd
Suite 202
Virginia Beach, VA 23452-1160

7108 Evelyn T Butts Ave
Norfolk, VA 23513-1817

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TPMC1098FLMDProfessional Counselor
PC010948PAMDProfessional Counselor
0701014839VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Beach Therapy & Consulting PLLC CurrentSince Jan 19, 2026 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1362614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750982400000",
    "number": "1972844413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 CLWYD RD",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190042302",
            "telephone_number": "610-660-0401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 PARAGON PL STE 237",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232301651",
            "telephone_number": "804-562-9997"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "113 Clwyd Rd",
            "address_purpose": "LOCATION",
            "city": "Bala Cynwyd",
            "state": "PA",
            "postal_code": "190042302",
            "country_code": "US",
            "telephone_number": "610-660-0401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11835 Fishing Point Dr Ste 202",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236062585",
            "country_code": "US",
            "telephone_number": "757-243-1033",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3433 Brambleton Ave Ste 201A",
            "address_purpose": "LOCATION",
            "city": "Roanoke",
            "state": "VA",
            "postal_code": "240186527",
            "country_code": "US",
            "telephone_number": "540-266-7550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1933 Thomson Dr",
            "address_purpose": "LOCATION",
            "city": "Lynchburg",
            "state": "VA",
            "postal_code": "245011008",
            "country_code": "US",
            "telephone_number": "434-616-6762",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4445 Corporation Ln Ste 245",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234623676",
            "country_code": "US",
            "telephone_number": "757-233-0003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "130 Carriebrooke Dr",
            "address_purpose": "LOCATION",
            "city": "Stephens City",
            "state": "VA",
            "postal_code": "226556000",
            "country_code": "US",
            "telephone_number": "540-486-4653",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7960 Donegan Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Manassas",
            "state": "VA",
            "postal_code": "201098236",
            "country_code": "US",
            "telephone_number": "571-208-0592",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLLOWAY",
        "first_name": "SANDRA",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "LPC (PHD GENETICS)",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-07",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "TPMC1098",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC010948",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701014839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.