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

Dr. Lisa M Kellogg, LPC, LMFT

Individual provider Mental Health Counselor · NPI 1396026431

Dr. Lisa M Kellogg, LPC, LMFT is a Mental Health Counselor in Fairfax, Virginia. Licensed in Arkansas, Maryland, Missouri and Virginia. Registered with an NPI since 2011.

Licensed in
AR, MD, MO, VA
In the registry since
2011
Specialties on file
5
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.
LMFT — Licensed Marriage and Family Therapist
A therapist licensed to treat couples and families.

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Practice location Address checks out

11350 Random Hills Rd Ste 310
Fairfax, VA 22030-6044
Phone: (703) 865-4900
Fax: (703) 865-4922
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Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 0717001833 (VA)
Mental Health Counselor Taxonomy 101YM0800X · Licence 2013014601 (MO)
Counselor Taxonomy 101Y00000X · Licence 0701010706 (VA)
Counselor Taxonomy 101Y00000X · Licence P2011105 (AR)
Marriage & Family Therapist Taxonomy 106H00000X · Licence LCM991 (MD)

Record details

NPI number1396026431
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC , LMFT
Sole proprietorNo
NPI enumeratedSeptember 2, 2011
Last updated in NPPESMarch 17, 2026
Certification dateMarch 17, 2026

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