Ashli Gregory
Individual provider Active NPI Professional Counselor · Ruckersville, VA
NPI 1154922342 · NPPES record last updated Jul 23, 2024
Key facts
- NPI
- 1154922342
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 0701010016 (VA)
- Practice address
- 106 Vista Heights Dr
Ruckersville, VA 22968-9510 - Phone
- (804) 723-6463
- Fax
- (804) 482-0911
- NPI assigned
- Nov 4, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mindful Innovations LLC
Practice addresses (Care Compare)
106 Vista Heights Dr
Ruckersville, VA 22968-9510
Phone (804) 723-6463
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240917000740 | VA | Practitioner - Mental Health Counselor | 3577004662 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindful Innovations LLC | Current |
Accepting new patients | |
| Priority Care LLC | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 0701010016 | VA | |
| Professional Counselor | 101YP2500X | 0701010016 | VA | Yes |
Addresses
Primary practice location
106 Vista Heights Dr
Ruckersville, VA 22968-9510
Mailing address
106 Vista Heights Dr
Ruckersville, VA 22968-9510
Phone (804) 723-6463
Other providers in Ruckersville, VA
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- Greene Family Dentistry
- Gianni Hansen
- Ashley Alexandra Harvey
- Carole June Havrila
- Health & Balance Chiropractic Clinic, LLC
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All providers in Ruckersville, 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 Jul 23, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.