Individual provider Active NPI

Angela Ruth Brooks Kiker

  • Counseling Psychologist
  • Arlington, VA
National Provider Identifier
1942845649
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
0701009084 Issued in VA
Practice address
3033 Wilson Blvd
Arlington, VA 22201-3866
Phone
(202) 350-1657
Fax
(866) 391-1787
NPI assigned
Nov 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 0701009084 VA
Addiction (Substance Use Disorder) Counselor 101YA0400X
Mental Health Counselor 101YM0800X 22363 FL
Counseling Psychologist 103TC1900X
Counseling Psychologist 103TC1900X 0701009084 VA Primary

Addresses

Primary practice location

3033 Wilson Blvd
Arlington, VA 22201-3866

Mailing address

7413 Inlet PT
Celebration, FL 34747-5581
Phone (571) 395-2993

Other practice location 1

1552 Roberts Dr
Jacksonville Beach, FL 32250-3222
Phone (904) 299-3420

Other practice location 2

8440 Old Keene Mill Rd
Springfield, VA 22152-2302
Phone (703) 569-1300

Other practice location 3

Rankin Behavioral Health
1945 Old gallows Road
Vienna, VA 22182-2218
Phone (571) 395-6012

Other practice location 4

500 Westover Dr Ste 13619
Sanford, NC 27330-8941
Phone (864) 361-9494

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

LicenseStateTypeSpecialty
0701009084VAMDCounselor
22363FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Beaches Therapy LLC PastSince Feb 25, 2021 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1574035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1942845649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7413 INLET PT",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "347475581",
            "telephone_number": "571-395-2993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3033 WILSON BLVD",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222013866",
            "telephone_number": "202-350-1657",
            "fax_number": "866-391-1787"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1552 Roberts Dr",
            "address_purpose": "LOCATION",
            "city": "Jacksonville Beach",
            "state": "FL",
            "postal_code": "322503222",
            "country_code": "US",
            "telephone_number": "904-299-3420",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8440 Old Keene Mill Rd",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "VA",
            "postal_code": "221522302",
            "country_code": "US",
            "telephone_number": "703-569-1300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Rankin Behavioral Health",
            "address_2": "1945 Old gallows Road",
            "address_purpose": "LOCATION",
            "city": "Vienna",
            "state": "VA",
            "postal_code": "221822218",
            "country_code": "US",
            "telephone_number": "571-395-6012",
            "fax_number": "703-859-7675",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Westover Dr Ste 13619",
            "address_purpose": "LOCATION",
            "city": "Sanford",
            "state": "NC",
            "postal_code": "273308941",
            "country_code": "US",
            "telephone_number": "864-361-9494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIKER",
        "first_name": "ANGELA",
        "middle_name": "RUTH BROOKS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-18",
        "last_updated": "2025-06-16",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "VA",
            "license": "0701009084",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "22363",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "VA",
            "license": "0701009084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; 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.