Breakthrough Glow, LLC
NPI 1235997164ActiveOrganization· Counselor, Mental Health· Virginia Beach, VA
Counselor, Mental Health in Virginia Beach, Virginia, registered in NPPES in March 2024. The authorized official on file is Alycia Margaret Archer, MA LPC, Chief Executive Officer. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1235997164 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 6, 2024 |
| Last updated in NPPES | May 7, 2026 |
| Certified by provider | May 7, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | — | — |
| Clinic/Center, Adult Mental Health | 261QM0850X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (VA) |
|---|
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