Kelly Marie Mulder

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0704019366 Issued in VA

Practice address

3900 University Dr Ste 130
Fairfax, VA 22030-2513

Phone

(703) 655-9880

NPI assigned

Sep 1, 2026

Last updated

Sep 1, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Blooming Minds Counseling LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fairfax, VA
  • NPI 1609719590
  NPD (past)

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

{
    "created_epoch": "1788220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1356259030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 SARASOTA DR",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225547815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 UNIVERSITY DR STE 130",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302513",
            "telephone_number": "703-655-9880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 Calhoun St",
            "address_purpose": "LOCATION",
            "city": "Galax",
            "state": "VA",
            "postal_code": "243333806",
            "country_code": "US",
            "telephone_number": "276-601-2749",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "468 E Main St Rm 400B",
            "address_purpose": "LOCATION",
            "city": "Abingdon",
            "state": "VA",
            "postal_code": "242103512",
            "country_code": "US",
            "telephone_number": "276-601-2749",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2802 Brandon Ave SW Ste 16",
            "address_purpose": "LOCATION",
            "city": "Roanoke",
            "state": "VA",
            "postal_code": "240153310",
            "country_code": "US",
            "telephone_number": "276-601-2749",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "211 West Main Street",
            "address_purpose": "LOCATION",
            "city": "Radford",
            "state": "VA",
            "postal_code": "24141",
            "country_code": "US",
            "telephone_number": "267-293-1235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MULDER",
        "first_name": "KELLY",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-01",
        "last_updated": "2026-09-01",
        "certification_date": "2026-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0704019366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Mueller
• Shawana Mufti, M.D.
• Aminah Muhammad, LPC
• Mahvash Mujahid, M.D.
• Sara Mukherjee, MD
• Jennifer A B Muldoon, MD
• Karen R Mulheron, RPH
• Patricia Michelle Mullaley, PH.D.
• Christian T Muller, M.D.
• Thomas John Mulligan, LCSW

• Mental Health Counselor in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.