ANNA VLADIMIROVNA ICKES (LPC) – Professional Counselor, NPI 1053019901

ANNA VLADIMIROVNA ICKES (LPC) is a healthcare provider. based in North chesterfield, Virginia. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPC. They hold a License No. 0701012213 (VA). The NPI Number for ANNA VLADIMIROVNA ICKES (LPC) is 1053019901

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
ANNA VLADIMIROVNA ICKES (LPC)
NPI
1053019901
Phone
Not provided
Address
8310 MIDLOTHIAN TPKE
Enumeration Date
20 February 2023
Last Update Date
25 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8044476382
Graduation Year
2017 (9 years ago)
PAC ID
9537518675
Group Practice PAC ID
5092021949
Professional Enrollment ID
I20231214000339
Address ID
VA232355163NO8310XTPKE300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

1,998 MENTAL HEALTH COUNSELOR in VA

Provider Addresses for ANNA VLADIMIROVNA ICKES (LPC)

  • 8310 MIDLOTHIAN TPKE

    NORTH CHESTERFIELD, VA 232355163

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-12-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231214000339IMental Health CounselorVATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 23235)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5092021949View full group profile
NameSpecialtyState
Clinical Social WorkerVA
Mental Health CounselorVA
Mental Health CounselorVA
Clinical Social WorkerVA
Clinical Social WorkerVA
Clinical Social WorkerVA
Mental Health CounselorVA
Mental Health CounselorVA
Clinical Social WorkerVA
Clinical Social WorkerVA

Reviews

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Frequently asked questions

What NPI should I save for ANNA VLADIMIROVNA ICKES (LPC)?
Save NPI 1053019901 if you need a stable reference for ANNA VLADIMIROVNA ICKES (LPC).
Is ANNA VLADIMIROVNA ICKES (LPC) currently active in the NPI registry?
CMS-published data lists ANNA VLADIMIROVNA ICKES (LPC) as an active registrant.
What kind of provider is ANNA VLADIMIROVNA ICKES (LPC)?
The page reflects Professional Counselor for ANNA VLADIMIROVNA ICKES (LPC). Clinical services aligned with this taxonomy classification.
Where is ANNA VLADIMIROVNA ICKES (LPC)'s primary listing?
We display North Chesterfield, Virginia because that is what the record indicates for ANNA VLADIMIROVNA ICKES (LPC).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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