DR. LISA M KELLOGG LPC, LMFT - NPI 1396026431 - Marriage & Family Therapist in Fairfax, VA

Q: What is Lisa Kellogg's NPI number?

The NPI number for Lisa Kellogg is 1396026431. It was assigned to this individual provider in the NPPES registry on September 2, 2011. The provider is also known as Dr. Lisa M Duncan.

Q: What is Lisa Kellogg's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: Is Lisa Kellogg enrolled in Medicare?

No. Lisa Kellogg has opted out of Medicare through March 31, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Lisa Kellogg was last updated on March 17, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Lisa M Kellogg Lpc, Lmft NPPES

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

DR. LISA M KELLOGG LPC, LMFT (NPI 1396026431) is an individual marriage & family therapist in Fairfax, Virginia, licensed in Virginia (0717001833) and active in the NPI registry since September 2011. She has opted out of Medicare through March 31, 2027.

NPPES Registry Identity

NPI1396026431

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameDR. LISA M KELLOGGCredential: LPC, LMFT

Location Address11350 RANDOM HILLS RD STE 310Fairfax, VA 22030-6044

Mailing Address11350 Random Hills Rd Ste 310Fairfax, VA 22030-6044 · (703) 865-4900 · Fax (703) 865-4922

Phone(703) 865-4900

Fax(703) 865-4922

Sole ProprietorNo

Enumeration DateSeptember 2, 2011

Last NPPES UpdateMarch 17, 20268 updates tracked since enumeration

NPPES CertifiedMarch 17, 2026

✔ NPI 1396026431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

Licenses✔ Licensed in VA · 0717001833✔ Licensed in MD · LCM991

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Also ListedCounselorTaxonomy 101Y00000X · License 0701010706 (VA), P2011105 (AR)

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 2013014601 (MO)

11350 RANDOM HILLS RD STE 310, Fairfax, VA 22030

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Other Names 1

Former Name (1)Dr. Lisa M Duncan

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Lisa M Kellogg Lpc, Lmft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 31, 2025 through March 31, 2027.

Opt-Out Effective DateMarch 31, 2025

Opt-Out In Effect ThroughMarch 31, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 12

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

DR. SYDNEY LOUISE MILLS PSY.D.

Psychologist (Clinical)