Virginia superbill and invoice for LPC, LCSW, LMFT, and psychologists
This page is the same Therapist Invoice Generator generator with Virginia selected. Out-of-network clients still need a superbill with your NPI, tax ID, Virginia license number, CPT codes, ICD-10 diagnoses, place of service, and fees. Private-pay clients usually need a simpler invoice — toggle the document type above.
License titles used on Virginia superbills
Independent counseling in Virginia is commonly written as LPC. Also print the letters you actually hold: LPC, LCSW, LMFT, Licensed Clinical Psychologist. The board to match your number against is the Virginia Board of Counseling. License line hint: VA #.
Virginia LPCs are licensed by the Board of Counseling. Clinical psychologists hold a separate Board of Psychology license.
Telehealth coding (national rules, used in Virginia)
In-office sessions use place of service 11 and no telehealth modifier. Video visits with the client at home use POS 10 and modifier 95. If the client is not at home, use POS 02. Audio-only, when the payer allows it, is modifier 93. Do not pair POS 11 with modifier 95.
Sales tax on therapy in Virginia
Professional counseling is generally exempt from Virginia sales tax. This generator defaults tax to zero. Add a note, not a tax engine, if your situation is unusual (retail products, groups billed as events, etc.).
Interstate compacts (verify before you practice)
- Counseling Compact: Enacted (confirm if privileges are live)
- PSYPACT (psychologists): Active
- Social Work Compact: Enacted (confirm if privileges are live)
Enacted is not the same as operational. A compact privilege does not replace documenting the license or privilege you used on the date of service.
Resident in counseling — what do I print?
Use the supervisee title Virginia issued you, plus the supervisor's license in notes.
What to put on a Virginia superbill
- Your legal name, LPC or other credential, practice address, phone
- NPI (Type 1) and EIN or SSN as tax ID
- Virginia license number as printed by the Virginia Board of Counseling
- Client name, date of birth, member ID if they want reimbursement
- Each date of service, POS, CPT (90834 / 90837 / 90791 are the usual set), ICD-10, fee, amount paid
Orientation only — not billing, tax, or legal advice. Payer rules beat this page.
Virginia LPCs are licensed by the Virginia Board of Counseling within the Department of Health Professions (DHP). This generator builds a therapist invoice or out-of-network (OON) superbill PDF in the browser with Virginia defaults: LPC as the primary counseling title, Licensed Clinical Psychologist as the psychology option, and a VA # license hint aligned with DHP License Lookup.
An invoice bills the client. A superbill packages CPT, ICD-10, provider, and payment detail for OON reimbursement. Both need accurate name, credential, license number, NPI, diagnoses, procedures, place of service, and amounts. The tool is browser-only—no PHI upload.
License titles that belong on the form
Virginia’s independent counseling license is Licensed Professional Counselor (LPC). Residents / supervisees in counseling must use the supervisee title Virginia issued—not LPC—until independent licensure.
Independent titles commonly used on Virginia superbills:
- LPC — Licensed Professional Counselor (default on this page)
- LCSW — Licensed Clinical Social Worker (Board of Social Work)
- LMFT — Licensed Marriage and Family Therapist
- Licensed Clinical Psychologist — Virginia Board of Psychology (separate DHP board)
If you are a resident in counseling or other supervisee, print that status and include the supervisor’s license in notes when the plan asks.
Exact strings for this generator’s credential dropdown: `LPC`, `LCSW`, `LMFT`, `Licensed Clinical Psychologist`.
Board, license number, lookup
Board (counselors): Virginia Board of Counseling — dhp.virginia.gov/Boards/Counseling.
Official license verification: DHP License Lookup (primary-source, real-time; see also License Verifications).
Print the license number exactly as DHP shows it. Select “Current Licensees” when you need only active credentials. Clinical psychologists verify under the Board of Psychology on the same DHP lookup system—use the psychology license number when billing as a psychologist.
Interstate practice: Counseling Compact / PSYPACT / Social Work Compact
As of retrieval on 2026-09-14:
- Counseling Compact: Virginia is a member (enacted) on counselingcompact.gov/map. Confirm operational privilege status before CompactConnect use.
- PSYPACT: Virginia is a participating jurisdiction for psychologists. Verify psypact.gov and hold current authorization.
- Social Work Licensure Compact: Virginia has enacted the compact and is listed on swcompact.org/compact-jurisdictions. Multistate SW licenses were not yet issuing as of mid-2026—confirm before marketing.
Verify before you rely on any compact.
Telehealth + place of service
For video sessions, commercial superbills commonly use:
- POS 10 — telehealth in patient’s home
- POS 02 — telehealth other than patient’s home
- Modifier 95 — synchronous audio-video telemedicine (when required)
Do not use POS 11 for pure video. Print the Virginia credential (or compact/PSYPACT authorization) that authorizes practice where the client is located.
Sales tax on therapy invoices
Virginia Administrative Code states that charges for professional services performed by physicians, surgeons, and other practitioners of the healing arts are not subject to retail sales and use tax (23VAC10-210-2060). More generally, charges for services are exempt unless tied to taxable tangible personal property under the true-object rules (23VAC10-210-4040). Leave the tax line at $0 on therapy invoices unless you regularly sell taxable tangible goods and must register as a dealer. Practitioners typically pay tax on supplies they consume in practice.
This is not tax advice.
How to fill the Virginia generator
- Confirm State = VA.
- Choose credential (default LPC). Supervisees use the title Virginia issued.
- Enter rendering name and VA # exactly as on DHP License Lookup.
- Add NPI, address, EIN/SSN, taxonomy as needed.
- Enter DOS, CPT, ICD-10, units, charges, amount paid.
- POS 10/02 for video; modifier 95 when required.
- For residents/supervisees, note supervisor license in notes.
- Download PDF locally.
Two worked Virginia examples
Virginia's paperwork runs through the Department of Health Professions — DHP — and its traps are the ones multi-state clinicians import: the credential is plain LPC (no "clinical" suffix), the residents-in-counseling tier must appear as itself, and the license lookup has a "Current Licensees" filter worth using before any first submission. The two documents below come from a fictional Richmond practice: one private-pay invoice, one out-of-network superbill. All identifiers are placeholders.
Example 1 — an in-office private-pay Virginia invoice
An LPC sees a self-pay client for weekly 60-minute sessions in the office. No insurer is involved, so the document is an invoice — services, dates, charges, payments — and the diagnosis column can stay empty.
| Date of service | Service | CPT | POS | Charge | Paid |
|---|---|---|---|---|---|
| Apr 2 | Individual psychotherapy, 60 min | 90837 | 11 | $165.00 | $165.00 |
| Apr 9 | Individual psychotherapy, 60 min | 90837 | 11 | $165.00 | $165.00 |
| Apr 16 | Individual psychotherapy, 60 min | 90837 | 11 | $165.00 | $165.00 |
| Apr 23 | Individual psychotherapy, 60 min | 90837 | 11 | $165.00 | $165.00 |
| Sales tax (see below) | $0.00 | ||||
| Total | $660.00 | $660.00 | |||
POS 11 is accurate for office sessions. The tax line stays at $0.00 because charges for professional services by practitioners of the healing arts are not subject to Virginia retail sales and use tax under 23VAC10-210-2060 — and services generally are exempt under 23VAC10-210-4040. The credential is LPC, Virginia's independent counseling license, and the license field follows the VA # hint — copy the number exactly as DHP License Lookup displays it, selecting "Current Licensees" when you need to confirm the credential is active.
Example 2 — a telehealth out-of-network superbill
A second client in Arlington has a PPO and attends weekly by video from home. The document must satisfy an adjuster's checklist, so it becomes a superbill: the invoice fields plus diagnosis, telehealth coding, and the complete provider identity block.
| Date of service | CPT | Modifier | POS | ICD-10 | Charge | Paid |
|---|---|---|---|---|---|---|
| Jul 9 | 90791 | 95 | 10 | F41.1 | $195.00 | $195.00 |
| Jul 16 | 90837 | 95 | 10 | F41.1 | $165.00 | $165.00 |
| Jul 23 | 90837 | 95 | 10 | F41.1 | $165.00 | $165.00 |
| Jul 30 | 90837 | 95 | 10 | F41.1 | $165.00 | $165.00 |
| Total | $690.00 | $690.00 | ||||
The client joined from home, so POS 10 applies — telehealth from anywhere else would take 02, and 11 would falsely claim an office visit. Modifier 95 marks synchronous telemedicine for the plans that require it. The intake bills 90791; the 60-minute follow-ups bill 90837.
The provider block carries the rendering name with LPC, the license number copied verbatim from DHP License Lookup, NPI, practice address, and tax ID. If the rendering clinician were a clinical psychologist, the credential would be Licensed Clinical Psychologist under the Board of Psychology — a separate DHP board reachable through the same lookup system. The paid column is populated because OON reimbursement repays actual expenditures.
One field-level habit worth building: run the DHP lookup before the first superbill of any plan relationship, not just at renewal. The lookup is primary-source and real-time, and selecting the "Current Licensees" view filters out lapsed credentials — a license that expired quietly between printings is the sort of thing an adjuster's verification step catches before you do.
Both parties were in Virginia, so the state license sufficed. Virginia has enacted the Counseling Compact — privileges require both home and remote states to be live on the Commission map before reliance — and participates in PSYPACT for psychologists holding ASPPB authorizations. A resident in counseling delivering these sessions would print the supervisee title Virginia issued and identify the supervisor when the plan asks.
Common mistakes on Virginia superbills
- Printing LPC while a resident in counseling. Residents and other supervisees must use the title Virginia issued — not LPC — until the Board of Counseling grants independent licensure. Identify the supervisor in notes when the plan asks.
- Skipping the "Current Licensees" filter. DHP License Lookup is real-time and primary-source; filtering to current licensees confirms the credential is active before the payer checks it.
- Verifying a psychologist on the wrong board. Licensed Clinical Psychologists verify under the Virginia Board of Psychology — a separate DHP board. Use the license number matching the credential printed.
- Treating enacted compact status as live. Virginia is a Counseling Compact member, but privileges require operational status on both ends — verify counselingcompact.gov first.
- Coding telehealth as POS 11. Use 10 for a client at home and 02 for telehealth elsewhere. POS 11 describes an office visit.
- Adding a sales-tax line. Healing-arts professional services are not subject to Virginia retail sales tax under 23VAC10-210-2060. Leave the line at $0 unless you sell taxable goods.
FAQ
Resident in counseling—what do I print?
Use the supervisee title Virginia issued you, plus the supervisor’s license in notes.
LPC vs Licensed Clinical Psychologist?
Counselors use LPC (Board of Counseling). Psychologists use the Board of Psychology clinical psychologist license string—do not mix boards on the rendering line.
Does Virginia tax therapy sessions?
Professional healing-arts services are not subject to Virginia sales tax under 23VAC10-210-2060. Leave tax at $0 unless you sell taxable goods.
Is Virginia in the Counseling Compact?
Enacted member—verify operational status on counselingcompact.gov before relying on privileges.
What do OON payers want?
Name + credential, VA license #, NPI, DOS, CPT, ICD-10, POS, charges, amount paid, telehealth modifier when required.
Why these sources matter
Every factual claim on this page traces back to a primary source: Virginia Board of Counseling, the official interstate-compact commissions, and Virginia's own tax authority. That matters because out-of-network billing guidance ages badly — license titles get renamed, compacts add members, and taxable-service lists get amended. Secondhand summaries lag those changes by months. The links below are the records themselves, with the date each was checked, so you can re-verify anything here before you rely on it for a claim.
References
- Board of Counseling. Retrieved 2026-09-14. dhp.virginia.gov
- License lookup (DHP). Retrieved 2026-09-14. dhp.virginiainteractive.org
- License verifications page. Retrieved 2026-09-14. dhp.virginia.gov
- Counseling Compact map. Retrieved 2026-09-14. counselingcompact.gov
- PSYPACT map. Retrieved 2026-09-14. psypact.gov
- Social Work Compact jurisdictions. Retrieved 2026-09-14. swcompact.org
- Tax (23VAC10-210-2060). Retrieved 2026-09-14. law.lis.virginia.gov
- Tax (23VAC10-210-4040 services). Retrieved 2026-09-14. law.lis.virginia.gov
Disclaimer
Educational formatting only—not legal, billing, tax, or malpractice advice. Verify with the Virginia Board of Counseling or Board of Psychology, the client’s insurer, and Virginia Tax or a tax professional before you bill.
