Individual provider Active NPI

Melody Agbisit, PHD

  • Professional Counselor
  • Virginia Beach, VA
National Provider Identifier
1992477848
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
701011259 Issued in VA
Practice address
4646 Princess Anne Rd
Virginia Beach, VA 23462-6464
Phone
(757) 332-2122
NPI assigned
Sep 29, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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 701011259 VA Primary

Addresses

Primary practice location

4646 Princess Anne Rd
Virginia Beach, VA 23462-6464

Mailing address

249 W Freemason St Apt 304
Norfolk, VA 23510-1353

Other names 1

  • Melody Moreno Former 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

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Light Counseling & Psychotherapy, PLLC Professional CurrentSince Apr 9, 2023 Accepting new patients
Coastal Light Counseling & Psychology, PLLC Professional CurrentSince Apr 9, 2023 Accepting new patients
Kultura Wellness and Consulting Professional CurrentSince Sep 24, 2023 Accepting new patients

Locations

4453 Shore Dr
Virginia Beach, VA 23455
Phone (757) 231-6343

Organizations & group practices 3

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": "1632873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1992477848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 W FREEMASON ST APT 304",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235101353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4646 PRINCESS ANNE RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234626464",
            "telephone_number": "757-332-2122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGBISIT",
        "first_name": "MELODY",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-29",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "701011259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELODY",
            "last_name": "MORENO",
            "credential": "MA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; 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.