NPI 1508216631 · live from the CMS NPI Registry
Kelly Austin, LMFT
Marriage & Family Therapist in Manassas, VA. National Provider Identifier 1508216631, active.
NPI record
| NPI | 1508216631 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Marriage & Family Therapist 106H00000X |
| Practice location | 8781 Mathis Ave, Manassas, VA 20110 |
| Practice phone | 571-445-0265 |
| Mailing address | 7118 Knotty Oak Ln, Manassas, VA 20112 |
| Enumerated | June 20, 2016 |
| Last updated | August 29, 2026 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist primary | 106H00000X | 0717001391 (VA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.