Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1790135549 Individual Practitioner Female Practitioner

Kelley Willis , MSW

Counselor • Chantilly, VA

Professional Overview & Biography Verified Profile Summary

Kelley Willis, MSW is a registered healthcare professional specializing in Counselor in Chantilly, VA. Practice services are available at 14900 BOGLE DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

14900 Bogle Dr
Suite 200

Chantilly, VA 201511756

Telephone 7038179890
Fax 7038179860
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Chantilly, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.0 Yrs
State Avg: 14.5 Yrs
Regional Practice Density
7 Specialists

Practicing in Chantilly, VA (1071 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-11-15
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
Melanie Davis , LPC

Counselor - Professional

NPI 1174545578

Licensed Professional Counselor

Claire Butler , MSW

Social Worker

NPI 1215770409

Master of Social Work

Tina Kavarligos , LPC

Counselor - Professional

NPI 1225585334

Licensed Professional Counselor

Amy Robinson , MSW, LCSW

Social Worker - Clinical

NPI 1356431084

Master of Social Work, Licensed Clinical Social Worker

Teresa Denton

Counselor - Mental Health

NPI 1447755020
Deborah Evans , LSCW, BCD

Social Worker - Clinical

NPI 1457427833

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 13, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location June 13, 2016

Registered at 14900 BOGLE DR, SUITE 200, CHANTILLY, VA 201511756 (Tel: 7038179890)

📍
Updated Business Mailing Address June 13, 2016

Registered at 14900 BOGLE DR, SUITE 200, CHANTILLY, VA 201511756 (Tel: 7038179890)

👤
Provider Name / Credentials Updated June 13, 2016

Recorded as KELLEY WILLIS, MSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 13, 2016

Counselor

🟢
Initial NPI Registration & Enumeration June 13, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1790135549
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 13, 2016
Last Update: November 15, 2022
Sole Proprietor: No

Mailing Address

14900 Bogle Dr, Suite 200

Chantilly, VA 201511756

Phone: 7038179890

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.