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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

KELLY MARIE MULDER
NPI 1356259030
Counselor - Mental Health in Fairfax, VA

Active since September 01, 2026
3900 UNIVERSITY DR STE 130, FAIRFAX, VA 22030(703) 655-9880 Get Directions Write a Review

NPPES record added: September 1, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Kelly Marie Mulder NPPES

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

KELLY MARIE MULDER (NPI 1356259030) is an individual mental health provider in Fairfax, Virginia, licensed in Virginia (0704019366) and active in the NPI registry since September 2026. She maintains 4 additional practice locations.

NPPES Registry Identity

NPI1356259030
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKELLY MARIE MULDER
Location Address3900 UNIVERSITY DR STE 130Fairfax, VA 22030-2513
Mailing Address23 Sarasota DrStafford, VA 22554-7815
Phone(703) 655-9880
Sole ProprietorNo
Enumeration DateSeptember 1, 2026
NPPES CertifiedAugust 29, 2026
✔ NPI 1356259030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in VA · 0704019366
3900 UNIVERSITY DR STE 130, Fairfax, VA 22030
Open in Google Maps ↗

Secondary Practice Locations 4

Location 1468 E Main St Rm 400BAbingdon, VA 24210-3512 · Phone (276) 601-2749
Location 22802 Brandon Ave SW Ste 16Roanoke, VA 24015-3310 · Phone (276) 601-2749
Location 3211 West Main StreetRadford, VA 24141 · Phone (267) 293-1235
Location 4210 Calhoun StGalax, VA 24333-3806 · Phone (276) 601-2749

Other Providers at the Same Location NPPES

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

BLOOMING MINDS COUNSELING LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
3900 UNIVERSITY DR STE 130
FAIRFAX, VA 22030
Fairfax City (703) 655-9880

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 Mulder's NPI number?

The NPI number for Kelly Mulder is 1356259030. It was assigned to this individual provider in the NPPES registry on September 1, 2026.

Where is Kelly Mulder located?

Kelly Mulder practices at 3900 University Dr Ste 130, Fairfax, VA 22030. The listed phone number is (703) 655-9880.

What is Kelly Mulder'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 Mulder was last updated on September 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.