Ashley Marie Foresman, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810004767 Issued in VA

Practice address

13901 Coalfield Commons PL Ste 102
Midlothian, VA 23114-1216

Phone

(804) 378-0800

NPI assigned

May 8, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ashley Marie Zavertnik Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 29, 2025 through Apr 29, 2027

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: commonwealthcounselingassociates.ashleyforesman@134000.advancedmd-direct.com

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.

• Three Rivers Treatment Center LLC

  • Psychiatric Residential Treatment Facility
  • Kenbridge, VA
  • NPI 1568827780
  NPD (past)

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

{
    "created_epoch": "1367971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428278400000",
    "number": "1245675958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13901 COALFIELD COMMONS PL STE 102",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231141216",
            "telephone_number": "804-378-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13901 COALFIELD COMMONS PL STE 102",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231141216",
            "telephone_number": "804-378-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORESMAN",
        "first_name": "ASHLEY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-08",
        "last_updated": "2015-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810004767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "ZAVERTNIK",
            "middle_name": "MARIE",
            "credential": "PSY.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Marcus Read Forbes, PH.D.
• Jahquelle Moshaie Ford, JAHQUELLE
• Karen Sue Ford
• Kevin Bruce Ford, DPT
• Malikan Forde
• Loretta Forman, P.T.
• Sarah Formica, PMHNP-BC
• Ciarra Forsythe
• Steven Gerard Forte, DDS
• Monica J. Forth, M.D.

• Clinical Psychologist in Midlothian, VA
• Providers in Midlothian, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.