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JENNA KELLEY MS, LPC, ATR
NPI 1801497615
Counselor - Professional in Fairfax, VA

Active since November 06, 2020PECOS Enrolled
8500 EXECUTIVE PARK AVE STE 202, FAIRFAX, VA 22031(703) 852-7020 Get Directions Write a Review

NPPES record last updated: November 6, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jenna Kelley Ms, Lpc, Atr NPPES

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

JENNA KELLEY MS, LPC, ATR (NPI 1801497615) is an individual professional provider in Fairfax, Virginia and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1801497615
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJENNA KELLEYCredential: MS, LPC, ATR
Location Address8500 EXECUTIVE PARK AVE STE 202Fairfax, VA 22031-2253
Mailing Address9615 Ceralene DrFairfax, VA 22032-1703 · (757) 802-2221
Phone(703) 852-7020
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateNovember 6, 2020
NPPES CertifiedNovember 6, 2020
✔ NPI 1801497615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
8500 EXECUTIVE PARK AVE STE 202, Fairfax, VA 22031
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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jenna Kelley Ms, Lpc, Atr is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3779072905
PECOS Enrollment IDI20251029000299
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.

Medicare Billing Reassignment

Medicare enrollment records show Jenna Kelley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Afshar Brothers Inc.
11 mi
Mental Health (Including Community Mental Health Center)
13655 DULLES TECHNOLOGY DR STE 120
Herndon, VA 20171
  • Reassigned Medicare billing, District of Columbia enrollment
  • 5 clinicians in this Medicare group
NPI 1629787809 (571) 665-4025

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 8

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

MISS JENNIFER SMITH DAVIS LCSW
Social Worker (Clinical)
8500 EXECUTIVE PARK AVE STE 202
FAIRFAX, VA 22031
Fairfax County (703) 852-7020
SONGKI PARK NP
Nurse Practitioner (Psychiatric/Mental Health)
8500 EXECUTIVE PARK AVE STE 202
FAIRFAX, VA 22031
Fairfax County (703) 852-7020
WALEED MUSHREF MD
Psychiatry & Neurology (Psychiatry)
8500 EXECUTIVE PARK AVE STE 202
FAIRFAX, VA 22031
Fairfax County (703) 852-7020
MRS. SONIA JACQUELINE TRUNDY LCSW
Social Worker (Clinical)
8500 EXECUTIVE PARK AVE STE 202
FAIRFAX, VA 22031
Fairfax County (703) 852-7020
ELIZABETH BAILEY
Counselor
8500 EXECUTIVE PARK AVE STE 202
FAIRFAX, VA 22031
Fairfax County (703) 852-7015
MINNINDER JIT SANDHU M.D.
Psychiatry & Neurology (Psychiatry)
8500 EXECUTIVE PARK AVE STE 202
FAIRFAX, VA 22031
Fairfax County (703) 852-7020
INSIYA H NASRULLA MD
Psychiatry & Neurology (Geriatric Psychiatry)
8500 EXECUTIVE PARK AVE STE 202
FAIRFAX, VA 22031
Fairfax County (703) 852-7020
DR. ZOHAIB MAJID MD
Psychiatry & Neurology (Psychiatry)
8500 EXECUTIVE PARK AVE STE 202
FAIRFAX, VA 22031
Fairfax County (703) 852-7020

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 Jenna Kelley's NPI number?

The NPI number for Jenna Kelley is 1801497615. It was assigned to this individual provider in the NPPES registry on November 6, 2020.

Where is Jenna Kelley located?

Jenna Kelley practices at 8500 Executive Park Ave Ste 202, Fairfax, VA 22031. The listed phone number is (703) 852-7020.

What is Jenna Kelley's specialty?

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

Is Jenna Kelley enrolled in Medicare?

Yes. Jenna Kelley is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jenna Kelley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jenna Kelley reassigns Medicare benefits to Afshar Brothers Inc. (Herndon, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jenna Kelley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jenna Kelley accept?

Health plans from Oscar Health list Jenna Kelley 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 Jenna Kelley was last updated on November 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.