Angela Revercomb Lpc LLC
NPI 1386405645ActiveOrganization· Counselor, Professional· Henrico, VA
Counselor, Professional in Henrico, Virginia, registered in NPPES in January 2024. The authorized official on file is Angela Revercomb, LPC, Owner/Provider. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1386405645 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 23, 2024 |
| Last updated in NPPES | Jan 23, 2024 |
| Certified by provider | Jan 23, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | — | — |
| 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 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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