KELLY HEIGES THEIS PH.D
NPI 1811093149
Psychologist - Clinical in Vienna, VA

Active since September 15, 2006Opted out of Medicare · through Mar 7, 2027
8381 OLD COURTHOUSE ROAD, SUITE 330, VIENNA, VA 22182(703) 938-9090(703) 938-9091 Get Directions Write a Review

NPPES record last updated: September 1, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Heiges Theis Ph.d NPPES

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

KELLY HEIGES THEIS PH.D (NPI 1811093149) is an individual clinical provider in Vienna, Virginia, licensed in Virginia (081003318) and active in the NPI registry since September 2006. She has opted out of Medicare through March 7, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1811093149
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameKELLY HEIGES THEISCredential: PH.D
Location Address8381 OLD COURTHOUSE ROAD, SUITE 330Vienna, VA 22182-1670
Mailing Address1428 Aldenham LnReston, VA 20190-3901 · (703) 864-5416
Fax(703) 938-9091
Sole ProprietorYes
Enumeration DateSeptember 15, 2006
Last NPPES UpdateSeptember 1, 2015
NPI 1811093149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in VA · 081003318
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
8381 OLD COURTHOUSE ROAD, Vienna, VA 22182

Other Identifiers 8

Other293937VA · Amerigroup
Other541598045VA · Tricare
Medicaid010099072VA
Other7751599VA · Aetna
Other89130026VA · Carefirst Bcbs
Other139309VA · Anthem Hk
Other541598045VA · Ncppo
Other715692000VA · Magellan

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Kelly Heiges Theis Ph.d has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 7, 2017 through March 7, 2027.

Opt-Out Effective DateMarch 7, 2017
Opt-Out In Effect ThroughMarch 7, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22182 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$194.86 typical visit price
range $65.18 – $194.86
Typical copayment $48.71 (range $16.29 – $48.71)
Most-billed visit code 99205
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

Psychologist (Clinical)
8381 OLD COURTHOUSE ROAD, SUITE 330
VIENNA, VA 22182

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 Kelly Theis's NPI number?

The NPI number for Kelly Theis is 1811093149. It was assigned to this individual provider in the NPPES registry on September 15, 2006.

Where is Kelly Theis located?

Kelly Theis practices at 8381 Old Courthouse Road Suite 330, Vienna, VA 22182. The listed phone number is (703) 938-9090.

What is Kelly Theis's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Kelly Theis enrolled in Medicare?

No. Kelly Theis has opted out of Medicare through March 7, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Kelly Theis was last updated on September 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.