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ALYSSA WALL LPC
NPI 1679272546
Counselor - Professional in Richmond, VA

Active since February 28, 2023PECOS Enrolled
2002 BREMO RD STE 110, RICHMOND, VA 23226(804) 482-0583(804) 525-9580 Get Directions Write a Review

NPPES record last updated: September 18, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Sep 18, 2025, Feb 28, 2023 (2 updates tracked since 2023).

About Alyssa Wall Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALYSSA WALL LPC (NPI 1679272546) is an individual professional provider in Richmond, Virginia, licensed in Virginia (0701011546) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1679272546
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameALYSSA WALLCredential: LPC
Location Address2002 BREMO RD STE 110Richmond, VA 23226-2441
Mailing Address3119 Mccabe CtChester, VA 23831-7026 · (804) 482-0583
Phone(804) 482-0583
Fax(804) 525-9580
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateFebruary 28, 2023
Last NPPES UpdateSeptember 18, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2025
✔ NPI 1679272546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in VA · 0701011546
2002 BREMO RD STE 110, Richmond, VA 23226
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alyssa Wall Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1759878333
PECOS Enrollment IDI20251016002382
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EMILY M MANGAN LPC
Counselor (Professional)
2002 BREMO RD STE 110
RICHMOND, VA 23226
Richmond City (804) 420-2894
PINNACLE TREATMENT CENTERS VA-I, LLC
Clinic/Center (Rehabilitation, Substance Use Disorder)
2002 BREMO RD STE 110
RICHMOND, VA 23226
Richmond City (804) 354-1996

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 Alyssa Wall's NPI number?

The NPI number for Alyssa Wall is 1679272546. It was assigned to this individual provider in the NPPES registry on February 28, 2023.

Where is Alyssa Wall located?

Alyssa Wall practices at 2002 Bremo Rd Ste 110, Richmond, VA 23226. The listed phone number is (804) 482-0583.

What is Alyssa Wall's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Alyssa Wall enrolled in Medicare?

Yes. Alyssa Wall is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alyssa Wall was last updated on September 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.