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

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.

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 NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathleen Petty's NPI number?

The NPI number for Kathleen Petty is 1811206204. It was assigned to this individual provider in the NPPES registry on October 1, 2010.

Where is Kathleen Petty located?

Kathleen Petty practices at 19441 Golf Vista Plz Suite 110, Lansdowne, VA 20176. The listed phone number is (703) 402-3080.

What is Kathleen Petty's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Kathleen Petty was last updated on October 1, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.