Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amanda Grace Kephart

Individual provider Professional Counselor · NPI 1730892779

Amanda Grace Kephart is a Professional Counselor in Reston, Virginia. Licensed in Virginia and Washington. Registered with an NPI since 2023.

Licensed in
VA, WA
In the registry since
2023
Specialties on file
2

Practice location Address checks out

11260 Roger Bacon Dr Ste 103
Reston, VA 20190-5203
Phone: (855) 284-7483
Fax: (617) 807-0958
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 0701012428 (VA)
Mental Health Counselor Taxonomy 101YM0800X · Licence LH61688079 (WA)

Record details

NPI number1730892779
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 4, 2023
Last updated in NPPESJanuary 12, 2026
Certification dateJanuary 12, 2026
Mailing addressPo Box 748465, Atlanta, GA 30374-8465

Other providers in Reston