KELLY BAUER LPC
NPI 1023199973
Counselor - Professional in Fairfax, VA

The NPI number for Kelly Bauer is 1023199973. It was assigned to this individual provider in the NPPES registry on October 18, 2006.

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

The NPPES record for Kelly Bauer was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 18, 2006

11200 WAPLES MILL RD, SUITE 180, FAIRFAX, VA 22030(703) 383-8333(703) 383-3183 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Kelly Bauer Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY BAUER LPC (NPI 1023199973) is an individual professional provider in Fairfax, Virginia and active in the NPI registry since October 2006.

NPI1023199973

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameKELLY BAUERCredential: LPC

Location Address11200 WAPLES MILL RD, SUITE 180Fairfax, VA 22030-7407

Mailing Address2099 N Collins Blvd, Suite 100Richardson, TX 75080-2698 · (972) 437-4698 · Fax (972) 671-2087

Fax(703) 383-3183

Sole ProprietorNo

Enumeration DateOctober 18, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1023199973 is a valid, active identifier and passes the ISO check-digit test.

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

11200 WAPLES MILL RD, Fairfax, VA 22030

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker

11200 WAPLES MILL RD, SUITE 180
FAIRFAX, VA 22030

Fairfax City (703) 383-8333

Behavior Technician