Amanda Grace Kephart
Professional Counselor · Reston, VA
Practice location
11260 Roger Bacon Dr Ste 103Reston, VA 20190-5203
- Phone
- (855) 284-7483
- Fax
- (617) 807-0958
NPI record
- NPI
- 1730892779
- Entity type
- Individual (Type 1)
- Enumeration date
- January 4, 2023
- Last updated
- January 12, 2026
- Certified
- January 12, 2026
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Professional Counselor Primary | 101YP2500X |
0701012428 | VA |
| Mental Health Counselor | 101YM0800X |
LH61688079 | WA |
Mailing address
PO Box 748465Atlanta, GA 30374-8465
- Phone
- (855) 284-7483
- Fax
- (617) 807-0958
About Amanda Kephart
Amanda Grace Kephart is a healthcare provider registered in the NPI registry with the primary taxonomy Professional Counselor (code 101YP2500X). The practice location is 11260 Roger Bacon Dr Ste 103, Reston, VA 20190-5203. The NPI number 1730892779 was assigned on January 4, 2023 and the record was last updated on January 12, 2026.
Amanda Kephart lists 2 licenses in the registry: #0701012428 (VA) for Professional Counselor; #LH61688079 (WA) for Mental Health Counselor. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Amanda Grace Kephart?
The NPI number is 1730892779.
What is the phone number of Amanda Kephart?
The phone number listed for the practice location is (855) 284-7483.
Where is Amanda Kephart located?
11260 Roger Bacon Dr Ste 103, Reston, VA 20190-5203.
What is the taxonomy code for Amanda Kephart?
The primary taxonomy code is 101YP2500X – Professional Counselor; 1 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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