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KELLY ELIZABETH ZADOW LPC
NPI 1063757326
Counselor - Mental Health in Fairfax, VA

Active since November 27, 2012
3020 JAVIER RD, FAIRFAX, VA 22031(571) 277-0217 Get Directions Write a Review

NPPES record last updated: November 27, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Elizabeth Zadow Lpc NPPES

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

KELLY ELIZABETH ZADOW LPC (NPI 1063757326) is an individual mental health provider in Fairfax, Virginia, licensed in Virginia (0701004942) and active in the NPI registry since November 2012.

NPPES Registry Identity

NPI1063757326
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKELLY ELIZABETH ZADOWCredential: LPC
Location Address3020 JAVIER RDFairfax, VA 22031-4609
Mailing Address1300 Pellow Circle TrlHerndon, VA 20170-2423 · (571) 277-0217
Phone(571) 277-0217
Sole ProprietorNo
Enumeration DateNovember 27, 2012
✔ NPI 1063757326 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in VA · 0701004942
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 0710102540 (VA)
3020 JAVIER RD, Fairfax, VA 22031
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Other Names 1

Former Name (1)Kelly Elizabeth Bradley

Other Providers at the Same Location NPPES 3

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

SUSAN E. JACOBSON NP
Registered Nurse (Psychiatric/Mental Health, Adult)
3020 JAVIER RD, INOVA BEHAVIORAL HEALTH
FAIRFAX, VA 22031
Fairfax County (703) 289-7585
MRS. GAIL LESLIE GRANDELA LPC, CCM
Counselor (Professional)
3020 JAVIER RD
FAIRFAX, VA 22031
Fairfax County (757) 748-7620
JOSEPH P WILEY CSAC
Counselor (Addiction (Substance Use Disorder))
3020 JAVIER RD
FAIRFAX, VA 22031
Fairfax County (703) 289-4985

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Zadow's NPI number?

The NPI number for Kelly Zadow is 1063757326. It was assigned to this individual provider in the NPPES registry on November 27, 2012. The provider is also known as Kelly Elizabeth Bradley.

Where is Kelly Zadow located?

Kelly Zadow practices at 3020 Javier Rd, Fairfax, VA 22031. The listed phone number is (571) 277-0217.

What is Kelly Zadow's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Kelly Zadow was last updated on November 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.