Kelly Atwood, PSYD, LPC, LCP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810005838 Issued in 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

Last updated

Mar 5, 2021By 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 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: katwood514271@soc.inova.org

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.

• Life Works Professional Counseling, PLLC

  • Professional Counselor
  • Ruckersville, VA
  • NPI 1689148777
  NPD (past)
• Page Memorial Hospital, Inc.

  • Critical Access Hospital
  • Luray, VA
  • NPI 1326040684
  NPD (past)

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

{
    "created_epoch": "1486425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614902400000",
    "number": "1689112997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 MARTIN LUTHER KING JR WAY # 9012",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228013257",
            "telephone_number": "540-568-1735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 MARTIN LUTHER KING JR WAY # 9012",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228013257",
            "telephone_number": "540-568-1735",
            "fax_number": "540-568-8866"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "294 E Main St",
            "address_purpose": "LOCATION",
            "city": "Stanley",
            "state": "VA",
            "postal_code": "228514039",
            "country_code": "US",
            "telephone_number": "540-568-1735",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "250 Memorial Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "Luray",
            "state": "VA",
            "postal_code": "228351000",
            "country_code": "US",
            "telephone_number": "540-568-1735",
            "fax_number": "540-568-8866",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ATWOOD",
        "first_name": "KELLY",
        "credential": "PSYD, LPC, LCP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-07",
        "last_updated": "2021-03-05",
        "certification_date": "2021-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701005578",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810005838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "katwood514271@soc.inova.org",
            "affiliation": "N",
            "address_1": "250 Memorial Dr Ste C",
            "city": "Luray",
            "state": "VA",
            "country_code": "US",
            "postal_code": "228351000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Joyce Rae Atkinson, BS/MS OTR/L
• Atlantic Integrative Medicine of Harrisonburg, LLC
• Atw Dietitian, LLC (Julie Thurnau, RD)
• Atwell Family Chiropractic and Wellness P.L.C.
• Daniel E Atwell, DC
• Audiology Associates of Harrisonburg, LLC
• Aurora Counseling & Well-Being
• Authentic Self Complete Wellness PLLC
• Avante at Harrisonburg, Inc.
• Mackenzie R Ayers

• Clinical Psychologist in Harrisonburg, VA
• Providers in Harrisonburg, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2021; 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.