Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Angela L Revercomb

Individual provider Professional Counselor · NPI 1700057825

Angela L Revercomb is a Mental Health Counselor in Henrico, Virginia. Graduated from Virginia Commonwealth University, School of Medicine in 2001, 25 years ago. Practices as a sole proprietor, works from 2 locations and accepts Medicare assignment.

Years since qualifying
25
Trained at
Virginia Commonwealth University, School of Medicine
In the registry since
2008
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Practice location Address checks out

3111 Northside Ave Ste 375
Henrico, VA 23228-5441
Phone: (804) 229-3172
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 12300 Washington Hiwy., Ashland, VA 23005 — (804) 365-7270

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 071003714

Record details

NPI number1700057825
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 17, 2008
Last updated in NPPESNovember 11, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolVIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Graduated 2001 (25 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Henrico