Individual provider Active NPI

Ashley Renee Williams, LPC, CSOTP

  • Professional Counselor
  • Blackstone, VA
National Provider Identifier
1083596365
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701015163 Issued in VA
Practice address
108 Bird Rd
Blackstone, VA 23824-1220
Phone
(434) 808-4909
Fax
(434) 808-4909
NPI assigned
Jul 25, 2025
Last updated
Jul 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701015163 VA Primary

Addresses

Primary practice location

108 Bird Rd
Blackstone, VA 23824-1220

Mailing address

214 Bush River Dr
Farmville, VA 23901-3179
Phone (434) 326-9524

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251006003657 VA Practitioner - Mental Health Counselor 5597262725 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Farmville, VA 23901

PO Box
Suite 248
Farmville, VA 23901-0248

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Crossroads Services Board CurrentSince Jul 25, 2025 Accepting new patients
Vaught Christian Counseling PC Professional PastSince Jul 25, 2025 Accepting new patients

Locations

9101 Washington St
Amelia Court House, VA 23002
Phone (804) 561-5057

410 Thomas Jefferson Hwy
Charlotte Court House, VA 23923
Phone (434) 542-5187

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1753401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1083596365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 BUSH RIVER DR",
            "city": "FARMVILLE",
            "state": "VA",
            "postal_code": "239013179",
            "telephone_number": "434-326-9524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 BIRD RD",
            "city": "BLACKSTONE",
            "state": "VA",
            "postal_code": "238241220",
            "telephone_number": "434-808-4909",
            "fax_number": "434-808-4909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ASHLEY",
        "middle_name": "RENEE",
        "credential": "LPC, CSOTP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-25",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701015163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blackstone, VA

Sources for this page

Verify at the official NPI Registry.