Active NPI
Ashlynn Grace O'Donnell
- Mental Health Counselor
- Ashburn, VA
National Provider Identifier
1063251403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0704016817
- Practice address
- 20755 Williamsport PL Ste 390
Ashburn, VA 20147-6523 - Phone
- (571) 832-5077
- NPI assigned
- May 24, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0704016817 | VA | Primary |
Addresses
Primary practice location
20755 Williamsport PL Ste 390
Ashburn, VA 20147-6523
Mailing address
21368 Scara PL
Broadlands, VA 20148-3602
Phone (410) 693-4851
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 |
|---|---|---|---|
| 0704016817 | VA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prime Solutions Consulting Inc | Mental Health | Current | Accepting new patients |
Locations
20755 Williamsport Pl
Ste 390
Ashburn, VA 20147
Phone (571) 832-5077
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": "1716508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716508800000",
"number": "1063251403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21368 SCARA PL",
"city": "BROADLANDS",
"state": "VA",
"postal_code": "201483602",
"telephone_number": "410-693-4851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20755 WILLIAMSPORT PL STE 390",
"city": "ASHBURN",
"state": "VA",
"postal_code": "201476523",
"telephone_number": "571-832-5077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'DONNELL",
"first_name": "ASHLYNN",
"middle_name": "GRACE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-24",
"last_updated": "2024-05-24",
"certification_date": "2024-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VA",
"license": "0704016817",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ashburn, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.