BREAKTHROUGH GLOW, LLC
NPI 1235997164
Counselor - Mental Health in Virginia Beach, VA
About Breakthrough Glow, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BREAKTHROUGH GLOW, LLC (NPI 1235997164), doing business as Breakthrough Glow Counseling Services, is a healthcare organization registered as a mental health in Virginia Beach, Virginia and active in the NPI registry since March 2024. The organization maintains a secondary practice location in Norfolk and lists Alycia Margaret Archer, Chief Executive Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Breakthrough Glow, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Breakthrough Glow, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Breakthrough Glow, LLC's NPI number?
The NPI number for Breakthrough Glow, LLC is 1235997164. It was assigned to this organization in the NPPES registry on March 6, 2024. The provider is doing business as Breakthrough Glow Counseling Services.
Where is Breakthrough Glow, LLC located?
Breakthrough Glow, LLC is located at 460 Investors Pl Ste 106, Virginia Beach, VA 23452. The listed phone number is (757) 996-1837.
What is Breakthrough Glow, LLC's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Breakthrough Glow, LLC enrolled in Medicare?
Yes. Breakthrough Glow, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Breakthrough Glow, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Breakthrough Glow, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Breakthrough Glow, LLC was last updated on May 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.