Individual provider Active NPI

Ashli Gregory

  • Professional Counselor
  • Ruckersville, VA
National Provider Identifier
1154922342
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701010016 Issued in VA
Practice address
106 Vista Heights Dr
Ruckersville, VA 22968-9510
Phone
(804) 723-6463
Fax
(804) 482-0911
NPI assigned
Nov 4, 2020
Last updated
Jul 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 0701010016 VA
Professional Counselor 101YP2500X 0701010016 VA Primary

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

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
I20240917000740 VA Practitioner - Mental Health Counselor 3577004662 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mindful Innovations LLCGroup PAC ID 6305387499, 2 clinicians

Practice addresses (Care Compare)

106 Vista Heights Dr
Ruckersville, VA 22968-9510
Phone (804) 723-6463

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Innovations LLC CurrentSince Aug 10, 2024 Accepting new patients
Priority Care LLC CurrentSince Dec 28, 2025 Accepting new patients

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": "1604448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1154922342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 VISTA HEIGHTS DR",
            "city": "RUCKERSVILLE",
            "state": "VA",
            "postal_code": "229689510",
            "telephone_number": "804-723-6463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 VISTA HEIGHTS DR",
            "city": "RUCKERSVILLE",
            "state": "VA",
            "postal_code": "229689510",
            "telephone_number": "804-723-6463",
            "fax_number": "804-482-0911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGORY",
        "first_name": "ASHLI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-04",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "VA",
            "license": "0701010016",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701010016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ruckersville, VA

Sources for this page

Verify at the official NPI Registry.