Ashley Costner Kies, PHD, LPA, NCSP

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

4012 Park Rd
Suite 200
Charlotte, NC 28209-2377

Phone

(704) 332-4834

Fax

(704) 372-9653

NPI assigned

Mar 15, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ashley Nicole Costner Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1458000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473206400000",
    "number": "1093176349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 NOTTINGHAM DR",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280548329",
            "telephone_number": "704-482-0250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4012 PARK RD",
            "address_2": "SUITE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282092377",
            "telephone_number": "704-332-4834",
            "fax_number": "704-372-9653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIES",
        "first_name": "ASHLEY",
        "middle_name": "COSTNER",
        "credential": "PHD, LPA, NCSP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-15",
        "last_updated": "2016-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "COSTNER",
            "middle_name": "NICOLE",
            "credential": "SSP, NCSP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• James Stephen Kiehna, LCSW
• Amy Marita Kieliszewski
• Rebecca Kielminski, PHARMD
• Somaly Kien, PHARMD
• Stefanie Ann Kienker, FNP
• Marilyn Kiester, MS, CCC-SLP
• Joyce Zaine Kight, LPT
• Kights Medical Corp
• Amanda Brooks Kiker, PA
• Kiki Counseling Services LLC

• Psychologist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.