Active NPI
Ashley Green
- Professional Counselor
- Kennesaw, GA
National Provider Identifier
1003758657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC016542
- Practice address
- 1690 Stone Village LN NW Ste 622
Kennesaw, GA 30152-7777 - Phone
- (678) 740-3578
- NPI assigned
- Apr 6, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC016542 | GA | Primary |
Addresses
Primary practice location
1690 Stone Village LN NW Ste 622
Kennesaw, GA 30152-7777
Mailing address
1690 Stone Village LN NW Ste 622
Kennesaw, GA 30152-7777
Phone (678) 740-3578
Other names 1
- Ashley Smith
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC016542 | GA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Partners in Wellness LLC | Multi-Specialty | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1775433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781568000000",
"number": "1003758657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1690 STONE VILLAGE LN NW STE 622",
"city": "KENNESAW",
"state": "GA",
"postal_code": "301527777",
"telephone_number": "678-740-3578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1690 STONE VILLAGE LN NW STE 622",
"city": "KENNESAW",
"state": "GA",
"postal_code": "301527777",
"telephone_number": "678-740-3578"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "ASHLEY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-04-06",
"last_updated": "2026-06-16",
"certification_date": "2026-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC016542",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ASHLEY",
"last_name": "SMITH",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Kennesaw, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.