Rebecca Lynn Kolssak, LPCC-S, LPC, LCPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

E.2404608-SUPV Issued in OH

Practice address

101 W Broad St Ste 302
Falls Church, VA 22046-4200

Phone

(937) 709-0774

NPI assigned

Jan 4, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 6

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1609718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1174111462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W BROAD ST STE 302",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220464200",
            "telephone_number": "937-709-0774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W BROAD ST STE 302",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220464200",
            "telephone_number": "937-709-0774"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5450 Far Hills Ave",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454292386",
            "country_code": "US",
            "telephone_number": "937-709-0774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOLSSAK",
        "first_name": "REBECCA",
        "middle_name": "LYNN",
        "credential": "LPCC-S, LPC, LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-04",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "103532",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MD",
            "license": "LC18104",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "VA",
            "license": "0701015955",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "E.2404608-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trista Baxter Kogut, M.S.
• Konstantinos Kohilas, MD
• Susan E Kohn, MD
• Gulam-Mohmed M Kolia, MD FACC
• Nikolas Dimitri Kolocuris, CRNA
• Neil Kolyani, M.D., CSA
• Sanae Kolyani, CRNA
• Veronique K Kom, NP
• Saory Kong, DDS
• Tepy V Kong

• Counselor in Falls Church, VA
• Providers in Falls Church, VA by specialty
• Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.

Verify at the official NPI Registry.