Kelly Atwood, PSYD, LPC, LCP
Individual provider Active NPI Clinical Psychologist · Harrisonburg, VA
NPI 1689112997 · NPPES record last updated Mar 5, 2021
Key facts
- NPI
- 1689112997
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 0810005838 (VA)
- Practice address
- 755 Martin Luther King Jr Way # 9012
Harrisonburg, VA 22801-3257 - Phone
- (540) 568-1735
- Fax
- (540) 568-8866
- NPI assigned
- Feb 7, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0701005578 | VA | MD | Professional Counselor |
| 0810005838 | VA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Life Works Professional Counseling, PLLC | Professional | Past | Accepting new patients |
| Page Memorial Hospital, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701005578 | VA | |
| Clinical Psychologist | 103TC0700X | 0810005838 | VA | Yes |
Addresses
Primary practice location
755 Martin Luther King Jr Way # 9012
Harrisonburg, VA 22801-3257
Mailing address
755 Martin Luther King Jr Way # 9012
Harrisonburg, VA 22801-3257
Phone (540) 568-1735
Other practice location 1
294 E Main St
Stanley, VA 22851-4039
Phone (540) 568-1735
Other practice location 2
250 Memorial Dr Ste C
Luray, VA 22835-1000
Phone (540) 568-1735
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | katwood514271@soc.inova.org |
Other providers in Harrisonburg, VA
- Joyce Rae Atkinson
- Atlantic Integrative Medicine of Harrisonburg, LLC
- Atw Dietitian, LLC
- Atwell Family Chiropractic and Wellness P.L.C.
- Daniel E Atwell
- Audiology Associates of Harrisonburg, LLC
- Aurora Counseling & Well-Being
- Authentic Self Complete Wellness PLLC
- Avante at Harrisonburg, Inc.
- Mackenzie R Ayers
All providers in Harrisonburg, VA · Clinical Psychologist in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 5, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.