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AMANDA GRACE KEPHART
NPI 1730892779
Counselor - Professional in Reston, VA

Active since January 04, 2023PECOS Enrolled
11260 ROGER BACON DR STE 103, RESTON, VA 20190(855) 284-7483(617) 807-0958 Get Directions Write a Review

NPPES record last updated: January 12, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 12, 2026, Jan 4, 2023 (2 updates tracked since 2023).

About Amanda Grace Kephart NPPES

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

AMANDA GRACE KEPHART (NPI 1730892779) is an individual professional provider in Reston, Virginia, licensed in Virginia (0701012428) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730892779
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameAMANDA GRACE KEPHART
Location Address11260 ROGER BACON DR STE 103Reston, VA 20190-5203
Mailing AddressPo Box 748465Atlanta, GA 30374-8465 · (855) 284-7483 · Fax (617) 807-0958
Phone(855) 284-7483
Fax(617) 807-0958
Sole ProprietorNo
Enumeration DateJanuary 4, 2023
Last NPPES UpdateJanuary 12, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2026
✔ NPI 1730892779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in VA · 0701012428
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License LH61688079 (WA)
11260 ROGER BACON DR STE 103, Reston, VA 20190
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda Grace Kephart is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

WILLIAM C KAPFER
Counselor (Professional)
11260 ROGER BACON DR STE 103
RESTON, VA 20190
Fairfax County (855) 284-7483
CHRISTINA PUTERBAUGH MS, LMFT
Marriage & Family Therapist
11260 ROGER BACON DR STE 103
RESTON, VA 20190
Fairfax County (703) 635-3514
RACHEL MARIE FRANCIS LCSW-C
Social Worker (Clinical)
11260 ROGER BACON DR STE 103
RESTON, VA 20190
Fairfax County (571) 934-3936
ARIAM IVETTE PENA M.A.
Counselor (Professional)
11260 ROGER BACON DR STE 103
RESTON, VA 20190
Fairfax County (703) 782-3073

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 Amanda Kephart's NPI number?

The NPI number for Amanda Kephart is 1730892779. It was assigned to this individual provider in the NPPES registry on January 4, 2023.

Where is Amanda Kephart located?

Amanda Kephart practices at 11260 Roger Bacon Dr Ste 103, Reston, VA 20190. The listed phone number is (855) 284-7483.

What is Amanda Kephart's specialty?

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

Is Amanda Kephart enrolled in Medicare?

Yes. Amanda Kephart is registered in the Medicare PECOS enrollment system.

What insurance does Amanda Kephart accept?

Health plans from Providence Health Plan list Amanda Kephart 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 Amanda Kephart was last updated on January 12, 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.