Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Sophia Sills-Tailor, PHD, LPCMH, LPC

Individual provider Professional Counselor · NPI 1659711711

Dr. Sophia Sills-Tailor, PHD, LPCMH, LPC is a Mental Health Counselor in Virginia Beach, Virginia. Qualified in 2009, 17 years ago. Licensed in District of Columbia, Delaware, New Jersey and Virginia.

Years since qualifying
17
Licensed in
DC, DE, NJ, VA
In the registry since
2013
Specialties on file
4
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

5505 Indian River Rd Ste 100
Virginia Beach, VA 23464-5252
Phone: (757) 724-0980
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence PC-0000586 (DE)
Professional Counselor Taxonomy 101YP2500X · Licence PRC15540 (DC)
Professional Counselor Taxonomy 101YP2500X · Licence 0701006106 (VA)
School Counselor Taxonomy 101YS0200X · Licence 651764 (NJ)

Record details

NPI number1659711711
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD , LPCMH , LPC
Sole proprietorNo
NPI enumeratedJuly 3, 2013
Last updated in NPPESAugust 18, 2025
Certification dateAugust 18, 2025

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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