Brookside Family Therapy, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

BROOKSIDE FAMILY THERAPY, LLC

Practice address

8781 Mathis Ave
Manassas, VA 20110-5273

Phone

(571) 445-0265

Fax

(855) 755-7769

NPI assigned

Jan 4, 2024

Last updated

Aug 29, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kelly Austin, LMFTNPI 1508216631

Title

Owner

Phone

(571) 331-9704

Specialties & licenses 3

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kelly Austin, LMFT

  • Marriage & Family Therapist
  • Manassas, VA
  • NPI 1508216631
  NPD Authorized official
• Deshia Adubofour

  • Marriage & Family Therapist
  • Manassas Park, VA
  • NPI 1154040509
  NPD
• Tia S Coleman

  • Professional Counselor
  • Manassas Park, VA
  • NPI 1992457436
  NPD
• Lea Hamill

  • Mental Health Counselor
  • Manassas Park, VA
  • NPI 1851029011
  NPD

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

{
    "created_epoch": "1704326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787961600000",
    "number": "1477323152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7118 KNOTTY OAK LN",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201123235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8781 MATHIS AVE",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201105273",
            "telephone_number": "571-445-0265",
            "fax_number": "855-755-7769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKSIDE FAMILY THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-04",
        "last_updated": "2026-08-29",
        "certification_date": "2026-08-29",
        "status": "A",
        "authorized_official_last_name": "AUSTIN",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "571-331-9704",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rose Broberg
• Jennifer Lynn Brock, LPC
• Robin Elizabeth Brodie, M.D.
• Kialeigh Antionette Brooks
• Nicole Lee Ann Brooks, LPC
• Rowland Lynn Browder, D.D.S.
• Tysheera Brown-Davis
• Ann Calvert Brown, MS,LPC,LMFT
• Bonnie J Brown
• Brejai Brown

• Mental Health Counselor in Manassas, VA
• Providers in Manassas, 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 Aug 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.

Verify at the official NPI Registry.