MRS. KATHLEEN WAGGONER PETTY LCSW, CSAC
NPI 1811206204
Counselor - Mental Health in Lansdowne, VA

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

Active since October 01, 2010

19441 GOLF VISTA PLZ, SUITE 110, LANSDOWNE, VA 20176(703) 402-3080 Get Directions Write a Review

NPPES record last updated: October 1, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Mrs. Kathleen Waggoner Petty Lcsw, Csac NPPES

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

MRS. KATHLEEN WAGGONER PETTY LCSW, CSAC (NPI 1811206204) is an individual mental health provider in Lansdowne, Virginia and active in the NPI registry since October 2010.

NPPES Registry Identity

NPI1811206204

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMRS. KATHLEEN WAGGONER PETTYCredential: LCSW, CSAC

Location Address19441 GOLF VISTA PLZ, SUITE 110Lansdowne, VA 20176-8269

Mailing Address2607 Deerdell LnReston, VA 20191-2114 · (703) 476-5822

Phone(703) 402-3080

Sole ProprietorYes

Enumeration DateOctober 1, 2010

✔ NPI 1811206204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X

19441 GOLF VISTA PLZ, Lansdowne, VA 20176

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Other Providers at the Same Location NPPES 13

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

NICHOLE MUZINA

Physical Therapist

19441 GOLF VISTA PLZ, SUITE 230
LEESBURG, VA 20176

Loudoun County (703) 724-7474

NATALIE GARZA

Physical Therapy Assistant

19441 GOLF VISTA PLZ, SUITE 230
LEESBURG, VA 20176

Loudoun County (703) 724-7474

MRS. KRISTEN LUNDBERG BIRKLAND LMFT

Marriage & Family Therapist

19441 GOLF VISTA PLZ, SUITE 110
LANSDOWNE, VA 20176

Loudoun County (703) 638-8082

KATHERINE MADSEN MOORE LPC

Counselor (Professional)

19441 GOLF VISTA PLZ, SUITE 110
LEESBURG, VA 20176

Loudoun County (703) 554-3260

LAURA M FAWCETT DPT

Physical Therapist

19441 GOLF VISTA PLZ, SUITE 230
LANSDOWNE, VA 20176

Loudoun County (703) 724-7474

DR. MARYAM KATHRINE ARENA PH.D.

Psychologist (Clinical)

19441 GOLF VISTA PLZ
LANSDOWNE, VA 20176

Loudoun County (703) 678-1533

SLEEP DIAGNOSTIC CENTER INC

Clinic/Center (Sleep Disorder Diagnostic)

19441 GOLF VISTA PLZ, STE 310
LANSDOWNE, VA 20176

Loudoun County (703) 729-3420

BARRY R MAHARAJ DDS

Dentist (Oral and Maxillofacial Surgery)

19441 GOLF VISTA PLZ, SUITE 130
LANSDOWNE, VA 20176

Loudoun County (703) 723-7858

Frequently Asked Questions

What is Kathleen Petty's NPI number?

The NPI number assigned to this healthcare provider is 1811206204, enumerated as an "individual" on October 01, 2010.

Where is the provider located?

The provider is located at 19441 GOLF VISTA PLZ SUITE 110 LANSDOWNE, VA 20176 and the phone number is (703) 402-3080.

What is the provider's specialty?

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.