Active NPI
Kyle Atkins
- Professional Counselor
- Manassas Park, VA
National Provider Identifier
1083453922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0704016879
- Practice address
- 9110 Railroad Dr Ste 310a
Manassas Park, VA 20111-7042 - Phone
- (703) 334-1801
- NPI assigned
- May 21, 2024
- Last updated
- Sep 29, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0704016879 | VA | Primary |
Addresses
Primary practice location
9110 Railroad Dr Ste 310a
Manassas Park, VA 20111-7042
Mailing address
9110 Railroad Dr Ste 310a
Manassas Park, VA 20111-7042
Phone (703) 334-1801
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0704016879 | VA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790640000000",
"number": "1083453922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9110 RAILROAD DR STE 310A",
"city": "MANASSAS PARK",
"state": "VA",
"postal_code": "201117042",
"telephone_number": "703-334-1801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9110 RAILROAD DR STE 310A",
"city": "MANASSAS PARK",
"state": "VA",
"postal_code": "201117042",
"telephone_number": "703-334-1801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATKINS",
"first_name": "KYLE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-05-21",
"last_updated": "2026-09-29",
"certification_date": "2024-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0704016879",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manassas Park, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.