Active NPI
Annette B. Kielkopf, LPC, LMFT
- Marriage & Family Therapist
- McLean, VA
National Provider Identifier
1376694463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 071700118
- Practice address
- 1485 Chain Bridge Rd
Suite 203
McLean, VA 22101-4501 - Phone
- (703) 288-9022
- NPI assigned
- Jan 15, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 071700118 | VA | Primary |
| Mental Health Counselor | 101YM0800X | 0701004004 | VA |
Addresses
Primary practice location
1485 Chain Bridge Rd
Suite 203
McLean, VA 22101-4501
Mailing address
1485 Chain Bridge Road
Suite 203
McLean, VA 22101-4511
Phone (703) 288-9022
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 |
|---|---|---|---|
| 0701004004 | VA | MD | Mental Health Counselor |
| 071700118 | VA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720742400000",
"number": "1376694463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1485 CHAIN BRIDGE ROAD",
"address_2": "SUITE 203",
"city": "MCLEAN",
"state": "VA",
"postal_code": "221014511",
"telephone_number": "703-288-9022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1485 CHAIN BRIDGE RD",
"address_2": "SUITE 203",
"city": "MCLEAN",
"state": "VA",
"postal_code": "221014501",
"telephone_number": "703-288-9022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIELKOPF",
"first_name": "ANNETTE",
"middle_name": "B.",
"name_prefix": "Ms.",
"credential": "LPC, LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-15",
"last_updated": "2024-07-12",
"certification_date": "2024-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "VA",
"license": "071700118",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VA",
"license": "0701004004",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in McLean, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.