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

Kelly Elaine Vandivert, LPC

Individual provider Professional Counselor · NPI 1578718987

Kelly Elaine Vandivert, LPC is a Mental Health Counselor in Fredericksburg, Virginia. Qualified in 2005, 21 years ago. Practices with Mccd Fl Psychiatry Services PA, a 729-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Virginia.

Years since qualifying
21
Licensed in
VA
In the registry since
2008
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

406 Chatham Sq Park #102
Fredericksburg, VA 22405-2585
Phone: (703) 819-7538
Fax: (540) 373-6266
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 0701004449 (VA)

Record details

NPI number1578718987
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorYes
NPI enumeratedNovember 26, 2008
Last updated in NPPESJune 19, 2024
Certification dateJune 19, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice McCd Fl Psychiatry Services Pa — 729 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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