Healthcare Provider Details

I. General information

NPI: 1659208346
Provider Name (Legal Business Name): KC COUNSELING SERVICES LPC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44121 LEESBURG PIKE STE 240C
ASHBURN VA
20147-5667
US

IV. Provider business mailing address

44121 LEESBURG PIKE STE 240C
ASHBURN VA
20147-5667
US

V. Phone/Fax

Practice location:
  • Phone: 703-475-2030
  • Fax:
Mailing address:
  • Phone: 703-475-2030
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KAREN LEE CENNAME
Title or Position: OWNER/LICENSED PROFESSIONAL COUNSEL
Credential: LPC
Phone: 703-475-2030