Ashley N Keene – Professional Counselor

Key facts

NPI: 1104411222
Entity type: Individual (NPI type 1)
Primary specialty: Professional Counselor 101YP2500X
License: 0701010089 (VA)
Practice address: 220 Clay Dr
Pounding Mill, VA 24637-4320
Phone: (276) 963-3606
Fax: (276) 963-3747
NPI assigned: Mar 2, 2021
Sex: Female
Sole proprietor: No

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.

Family Preservation Services LLC Community/Behavioral Health Agency · Roanoke, VA · NPI 1093891335

NPD

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
0701010089	VA	MD	Professional Counselor

Practice roles

Organization	Specialty	Status	New patients
Family Preservation Services LLC		Current since Mar 7, 2021	Accepting new patients

Locations

220 Clay Dr
Pounding Mill, VA 24637
Phone (304) 887-8889

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Professional Counselor	101YP2500X	0701010089	VA	Yes

Addresses

Primary practice location

220 Clay Dr
Pounding Mill, VA 24637-4320

Mailing address

107 Viers CT
Lebanon, VA 24266-5424
Phone (276) 971-5881

Other providers in Pounding Mill, VA

All providers in Pounding Mill, VA · Professional Counselor in Virginia

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 2, 2021. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.