Individual provider · Type 1 NPI

Amanda Grace Kephart

Professional Counselor · Reston, VA

NPI number 1730892779 Active

Practice location

11260 Roger Bacon Dr Ste 103
Reston, VA 20190-5203

Call (855) 284-7483 Map

Fax (617) 807-0958

Mailing address

PO Box 748465
Atlanta, GA 30374-8465

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X0701012428 (VA)
Mental Health Counselor 101YM0800XLH61688079 (WA)

Professional Counselor: Definition to come...

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About NPI 1730892779

Amanda Grace Kephart's National Provider Identifier is 1730892779, issued on Jan 4, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Reston, VA. The record was last updated on Jan 12, 2026.