Brookside Family Therapy, LLC
NPI 1477323152ActiveOrganization· Counselor, Mental Health· Manassas, VA
Counselor, Mental Health in Manassas, Virginia, registered in NPPES in January 2024. The authorized official on file is Kelly Austin, LMFT, Owner.
Overview
| NPI | 1477323152 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 4, 2024 |
| Last updated in NPPES | Aug 29, 2026 |
| Certified by provider | Aug 29, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | — | — |
| Counselor, Professional | 101YP2500X | — | — |
| Marriage & Family Therapist | 106H00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Counselor, Mental Health providers in Manassas
- 1104781897
- 1871825695
- 1497955231
- 1831264605
- 1568976785
- 1821744137
- 1588367171
- 1124624739
- 1871689893
- 1174938476
- 1801304753
- 1043760697