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KELLEY WILLIS MSW
NPI 1790135549
Counselor in Chantilly, VA

Active since June 13, 2016
14900 BOGLE DR, SUITE 200, CHANTILLY, VA 20151(703) 817-9890(703) 817-9860 Get Directions Write a Review

NPPES record last updated: November 15, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 15, 2022, Jun 13, 2016 (2 updates tracked since 2016).

About Kelley Willis Msw NPPES

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

KELLEY WILLIS MSW (NPI 1790135549) is an individual counselor in Chantilly, Virginia and active in the NPI registry since June 2016.

NPPES Registry Identity

NPI1790135549
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameKELLEY WILLISCredential: MSW
Location Address14900 BOGLE DR, SUITE 200Chantilly, VA 20151-1756
Mailing Address14900 Bogle Dr, Suite 200Chantilly, VA 20151-1756 · (703) 817-9890 · Fax (703) 817-9860
Phone(703) 817-9890
Fax(703) 817-9860
Sole ProprietorNo
Enumeration DateJune 13, 2016
Last NPPES UpdateNovember 15, 20222 updates tracked since enumeration
NPPES CertifiedNovember 15, 2022
✔ NPI 1790135549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
14900 BOGLE DR, Chantilly, VA 20151
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Other Providers at the Same Location NPPES 6

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

TINA KAVARLIGOS LPC
Counselor (Professional)
14900 BOGLE DR, 200
CHANTILLY, VA 20151
Fairfax County (703) 817-9890
SHARAN K CHOHAN M.S., BCBA, LBA
Behavior Analyst
14900 BOGLE DR
CHANTILLY, VA 20151
Fairfax County (703) 537-0700
MS. DEBORAH K. EVANS LSCW, BCD
Social Worker (Clinical)
14900 BOGLE DR, STE 200
CHANTILLY, VA 20151
Fairfax County (703) 472-6056
FOR CHILDREN'S SAKE OF VIRGINIA
Social Worker (Clinical)
14900 BOGLE DR, SUITE 200
CHANTILLY, VA 20151
Fairfax County (703) 817-9890
FOR CHILDREN'S SAKE OF VIRGINIA
Community/Behavioral Health
14900 BOGLE DR, STE 200
CHANTILLY, VA 20151
Fairfax County (703) 817-9890
FOR CHILDREN'S SAKE OF VIRGINIA
Foster Care Agency
14900 BOGLE DR, STE 200
CHANTILLY, VA 20151
Fairfax County (703) 817-9890

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 Kelley Willis's NPI number?

The NPI number for Kelley Willis is 1790135549. It was assigned to this individual provider in the NPPES registry on June 13, 2016.

Where is Kelley Willis located?

Kelley Willis practices at 14900 Bogle Dr Suite 200, Chantilly, VA 20151. The listed phone number is (703) 817-9890.

What is Kelley Willis's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Kelley Willis was last updated on November 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.