KELLY AUSTIN LMFT
NPI 1508216631
Marriage & Family Therapist in Manassas Park, VA

Active since June 20, 2016Opted out of Medicare · through Jan 8, 2028
9105A OWENS DR STE 102, MANASSAS PARK, VA 20111(571) 331-9704(855) 755-7769 Get Directions Write a Review

NPPES record last updated: February 2, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 2, 2026, Sep 10, 2024, Nov 14, 2023 and 2 more (5 updates tracked since 2016).

About Kelly Austin Lmft NPPES

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

KELLY AUSTIN LMFT (NPI 1508216631) is an individual marriage & family therapist in Manassas Park, Virginia, licensed in Virginia (0717001391) and active in the NPI registry since June 2016. She has opted out of Medicare through January 8, 2028 and maintains a secondary practice location in Manassas.

NPPES Registry Identity

NPI1508216631
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameKELLY AUSTINCredential: LMFT
Location Address9105A OWENS DR STE 102Manassas Park, VA 20111-4852
Mailing Address7118 Knotty Oak LnManassas, VA 20112-3235 · (571) 445-0265 · Fax (855) 755-7769
Fax(855) 755-7769
Sole ProprietorYes
Enumeration DateJune 20, 2016
Last NPPES UpdateFebruary 2, 20265 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2026
NPI 1508216631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License Licensed in VA · 0717001391
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.
9105A OWENS DR STE 102, Manassas Park, VA 20111

Secondary Practice Location 1

Location 17118 Knotty Oak LnManassas, VA 20112-3235 · Phone (571) 445-0265

Other Identifiers 1

Other0717001391VA · State License

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Kelly Austin 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 January 8, 2024 through January 8, 2028.

Opt-Out Effective DateJanuary 8, 2024
Opt-Out In Effect ThroughJanuary 8, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 4

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

Marriage & Family Therapist
9105A OWENS DR STE 102
MANASSAS PARK, VA 20111
Counselor (Mental Health)
9105A OWENS DR STE 102
MANASSAS PARK, VA 20111
Counselor (Mental Health)
9105A OWENS DR STE 102
MANASSAS PARK, VA 20111
Counselor (Professional)
9105A OWENS DR STE 102
MANASSAS PARK, VA 20111

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 Austin's NPI number?

The NPI number for Kelly Austin is 1508216631. It was assigned to this individual provider in the NPPES registry on June 20, 2016.

Where is Kelly Austin located?

Kelly Austin practices at 9105A Owens Dr Ste 102, Manassas Park, VA 20111. The listed phone number is (571) 331-9704.

What is Kelly Austin's specialty?

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

Is Kelly Austin enrolled in Medicare?

No. Kelly Austin has opted out of Medicare through January 8, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Kelly Austin accept?

Health plans from UnitedHealthcare list Kelly Austin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Austin was last updated on February 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.