KELLY ELIZABETH NEVERSON


Address: 26 Fairfax St Se Ste 202, Leesburg, VA 20175-3638
Phone: 3014617039

KELLY ELIZABETH NEVERSON (NPI# 1104451335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104451335
Entity Type Individual
Full Name KELLY ELIZABETH NEVERSON
Credential LPC
Practice Address 26 Fairfax St Se Ste 202
Leesburg
VA 20175-3638
Practice Telephone 3014617039
Practice Fax Number 7037798626
Mailing Telephone 3014617039
Mailing Fax Number 7037798626
Enumeration Date 2020-03-09
Last Update Date 2020-03-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
0701008944 VA Behavioral Health & Social Service Providers

Office Location

Street Address 26 FAIRFAX ST SE STE 202
City LEESBURG
State VA
Zip Code 20175-3638

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1508316282 Stefanie Moreno Social Worker 914 Rhonda Pl Se, Leesburg, VA 20175 2016-10-06
1164819280 Hayley Robertson Behavioral Analyst 801 Childrens Center Road Sw, Leesburg, VA 20175 2015-04-16
1932597317 Christine Sauthoff Carter Speech-Language Pathologist 212 Wingate Pl Sw, Leesburg, VA 20175 2015-01-07
1174946651 Sucess By Therapeutic and Educational Play Services Speech-Language Pathologist 107 Pheasant Pl Sw, Leesburg, VA 20175 2014-02-04
1790115350 Ahmed Salem Behavioral Analyst 801 Childrens Center Road Sw, Leesburg, VA 20175 2013-11-19
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043825557 The Resilience Network LLC Counselor 215 Depot Ct Se # 253, Leesburg, VA 20175-3017 2020-09-11
1316562952 Zandra Basley Walker Counselor 183 Hawkstead Dr, Leesburg, GA 31763-5348 2020-06-09
1649891300 Meghan Wilmoth Walker Counselor 15c Loudoun St Sw, Leesburg, VA 20175-2908 2020-05-04
1871140343 Deeba Khumar-chadha Counselor 43911 Kittiwake Dr, Leesburg, VA 20176-6885 2019-08-20
1831651264 Michelle Elizabeth Vaughan Counselor 16480 Meadowview Ct, Leesburg, VA 20175-8907 2019-04-04
1962988113 Kendall Mccarthy Counselor 19268 Creek Field Cir, Leesburg, VA 20176-4300 2018-07-11
1356854897 Serra Boone Counselor 143 Edinborough Dr, Leesburg, GA 31763-4777 2017-11-07
1508394818 Catherine Theresa Crowe Counselor 43201 Cardston Pl, Leesburg, VA 20176-6460 2017-05-31
1790150423 Jamie Perrella Flynn-pressley Counselor 112 Cris Ann St., Leesburg, GA 31763 2015-12-07
1346665254 Jessie Bohnenkamp Counselor 6 Wirt St Nw Ste 100, Leesburg, VA 20176-2841 2014-02-28
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Competitor

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City LEESBURG
Zip Code 20175

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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