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: August 02, 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
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

Accepted 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)

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.

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.

Social Worker (Clinical)
8500 EXECUTIVE PARK AVE STE 202
FAIRFAX, VA 22031
Nurse Practitioner (Psychiatric/Mental Health)
8500 EXECUTIVE PARK AVE STE 202
FAIRFAX, VA 22031
Psychiatry & Neurology (Psychiatry)
8500 EXECUTIVE PARK AVE STE 202
FAIRFAX, VA 22031
Social Worker (Clinical)
8500 EXECUTIVE PARK AVE STE 202
FAIRFAX, VA 22031
Counselor
8500 EXECUTIVE PARK AVE STE 202
FAIRFAX, VA 22031
Psychiatry & Neurology (Psychiatry)
8500 EXECUTIVE PARK AVE STE 202
FAIRFAX, VA 22031
Psychiatry & Neurology (Geriatric Psychiatry)
8500 EXECUTIVE PARK AVE STE 202
FAIRFAX, VA 22031
Psychiatry & Neurology (Psychiatry)
8500 EXECUTIVE PARK AVE STE 202
FAIRFAX, VA 22031

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.

What insurance does Jenna Kelley accept?

Health plans from Providence Health Plan 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.