MR. JAMES JOSEPH KELLY IV
NPI 1740934207
Counselor - Professional in Bristow, VA

Active since February 03, 2022
11835 HAZEL CIRCLE DR, BRISTOW, VA 20136(703) 636-5104 Get Directions Write a Review

NPPES record last updated: February 3, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. James Joseph Kelly Iv NPPES

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

MR. JAMES JOSEPH KELLY IV (NPI 1740934207) is an individual professional provider in Bristow, Virginia, licensed in Virginia (0701011158) and active in the NPI registry since February 2022.

NPPES Registry Identity

NPI1740934207
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. JAMES JOSEPH KELLY IV
Location Address11835 HAZEL CIRCLE DRBristow, VA 20136-1223
Mailing Address12463 Hadrians CtBristow, VA 20136-3074 · (267) 825-3645
Sole ProprietorNo
Enumeration DateFebruary 3, 2022
NPPES CertifiedFebruary 3, 2022
NPI 1740934207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in VA · 0701011158
11835 HAZEL CIRCLE DR, Bristow, VA 20136

Other Providers at the Same Location NPPES 20

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

Counselor (Mental Health)
11835 HAZEL CIRCLE DR
BRISTOW, VA 20136
Counselor (Professional)
11835 HAZEL CIRCLE DR
BRISTOW, VA 20136
Social Worker (Clinical)
11835 HAZEL CIRCLE DR
BRISTOW, VA 20136
Social Worker (Clinical)
11835 HAZEL CIRCLE DR
BRISTOW, VA 20136
Counselor (Mental Health)
11835 HAZEL CIRCLE DR
BRISTOW, VA 20136
Counselor (Professional)
11835 HAZEL CIRCLE DR
BRISTOW, VA 20136
Counselor (Professional)
11835 HAZEL CIRCLE DR
BRISTOW, VA 20136
Nurse Practitioner (Pediatrics)
11835 HAZEL CIRCLE DR
BRISTOW, VA 20136

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 James Kelly's NPI number?

The NPI number for James Kelly is 1740934207. It was assigned to this individual provider in the NPPES registry on February 3, 2022.

Where is James Kelly located?

James Kelly practices at 11835 Hazel Circle Dr, Bristow, VA 20136. The listed phone number is (703) 636-5104.

What is James Kelly's specialty?

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

When was this NPI record last updated?

The NPPES record for James Kelly was last updated on February 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.