Kelly Austin, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

0717001391 Issued in VA

Practice address

8781 Mathis Ave
Manassas, VA 20110-5273

Phone

(571) 445-0265

Fax

(855) 755-7769

NPI assigned

Jun 20, 2016

Last updated

Aug 29, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Opted out of Medicare

Yes, effective Jan 8, 2024 through Jan 8, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Brookside Family Therapy, LLC

  • Mental Health Counselor
  • Manassas, VA
  • NPI 1477323152

  Marriage & Family Therapist

  NPD Authorized official

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

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787961600000",
    "number": "1508216631",
    "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",
            "telephone_number": "571-445-0265",
            "fax_number": "855-755-7769"
        },
        {
            "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": [
        {
            "address_1": "7118 Knotty Oak Ln",
            "address_purpose": "LOCATION",
            "city": "Manassas",
            "state": "VA",
            "postal_code": "201123235",
            "country_code": "US",
            "telephone_number": "571-445-0265",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AUSTIN",
        "first_name": "KELLY",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-20",
        "last_updated": "2026-08-29",
        "certification_date": "2026-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "VA",
            "license": "0717001391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Chickering Ault, M.D.
• Ashley Ausborn, MS
• Danielle M Austin, MD
• Heather Beth Austin
• Juliane Austin
• Authentic Home Health Services
• Available Home Health Care LLC
• Avea Wellness & Rejuvenation
• Fawn Avery, C.N.S.
• Sharon Aviles

• Marriage & Family Therapist in Manassas, VA
• Providers in Manassas, VA by specialty
• Marriage & Family Therapist 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.