ANGELA REVERCOMB LPC LLC
NPI 1386405645
Counselor - Professional in Henrico, VA
About Angela Revercomb Lpc Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANGELA REVERCOMB LPC LLC (NPI 1386405645) is a healthcare organization registered as a professional in Henrico, Virginia and active in the NPI registry since January 2024. The organization lists Angela Revercomb, Owner/provider, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 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)
Angela Revercomb Lpc 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 Angela Revercomb Lpc 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 Angela Revercomb Lpc LLC's NPI number?
The NPI number for Angela Revercomb Lpc LLC is 1386405645. It was assigned to this organization in the NPPES registry on January 23, 2024.
Where is Angela Revercomb Lpc LLC located?
Angela Revercomb Lpc LLC is located at 3111 Northside Ave Ste 375, Henrico, VA 23228. The listed phone number is (804) 955-8617.
What is Angela Revercomb Lpc LLC's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Angela Revercomb Lpc LLC enrolled in Medicare?
Yes. Angela Revercomb Lpc LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Angela Revercomb Lpc LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Angela Revercomb Lpc 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 Angela Revercomb Lpc LLC was last updated on January 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Angela Revercomb Lpc Llc · NPI 1386405645
Professional organization in Henrico, Virginia. Organization record, active in the CMS NPPES registry since January 23, 2024.
## Identity
- **NPI:** 1386405645 (Entity type: Organization)
- **Enumerated:** January 23, 2024
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **Also known as:** ANGELA REVERCOMB LPC LLC (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Angela Revercomb, OWNER/PROVIDER
## Practice location
- **Address:** 3111 NORTHSIDE AVE STE 375, Henrico, VA 23228-5441
- **Phone:** (804) 955-8617
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Mental Health Counselor) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 23, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1386405645) · Data from the CMS NPPES public registry.