BEACON PSYCHOTHERAPY SERVICES, LLC
NPI 1972016376
Social Worker - Clinical in Virginia Beach, VA

Q: What is Beacon Psychotherapy Services, LLC's NPI number?

The NPI number for Beacon Psychotherapy Services, LLC is 1972016376. It was assigned to this organization in the NPPES registry on November 8, 2017.

Q: What is Beacon Psychotherapy Services, LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Active since November 08, 2017

3640 S PLAZA TRL STE 103D, VIRGINIA BEACH, VA 23452(757) 818-4542(757) 299-3031 Get Directions Write a Review

NPPES record last updated: November 13, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 13, 2017, Nov 8, 2017 (2 updates tracked since 2017).

On this page

About Beacon Psychotherapy Services, Llc NPPES

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

BEACON PSYCHOTHERAPY SERVICES, LLC (NPI 1972016376) is a healthcare organization registered as a clinical in Virginia Beach, Virginia and active in the NPI registry since November 2017. The organization lists Fredric Harvey Bricka, Owner/clinician, as its authorized official.

NPPES Registry Identity

NPI1972016376

Entity TypeOrganization

Primary Taxonomy1041C0700X

Legal Business NameBEACON PSYCHOTHERAPY SERVICES, LLC

Location Address3640 S PLAZA TRL STE 103DVirginia Beach, VA 23452-3363

Mailing Address3640 S Plaza Trl Ste 103dVirginia Beach, VA 23452-3363 · (757) 818-4542 · Fax (757) 299-3031

Phone(757) 818-4542

Fax(757) 299-3031

Organization SubpartNo

Authorized OfficialFredric Harvey BrickaOwner/clinician · (757) 818-4542

Enumeration DateNovember 8, 2017

Last NPPES UpdateNovember 13, 20172 updates tracked since enumeration

✔ NPI 1972016376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

3640 S PLAZA TRL STE 103D, Virginia Beach, VA 23452

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Other Identifiers 1

Medicaid010142768VA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Beacon Psychotherapy Services, 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 Beacon Psychotherapy Services, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Fredric Bricka, LCSW

Clinical Social Worker

NPI 1770565442

3640 S PLAZA TRL STE 103D
Virginia Beach, VA 23452

(757) 818-4541

✔ PECOS✔ Accepts MedicareSame address

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 Beacon Psychotherapy Services, LLC's NPI number?

The NPI number for Beacon Psychotherapy Services, LLC is 1972016376. It was assigned to this organization in the NPPES registry on November 8, 2017.

Where is Beacon Psychotherapy Services, LLC located?

Beacon Psychotherapy Services, LLC is located at 3640 S Plaza Trl Ste 103D, Virginia Beach, VA 23452. The listed phone number is (757) 818-4542.

What is Beacon Psychotherapy Services, LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Beacon Psychotherapy Services, LLC enrolled in Medicare?

Yes. Beacon Psychotherapy Services, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Beacon Psychotherapy Services, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Beacon Psychotherapy Services, 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 Beacon Psychotherapy Services, LLC was last updated on November 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.