Active NPI
Ashley Mitchell
- Marriage & Family Therapist
- Fuquay Varina, NC
National Provider Identifier
1366011272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 20292A
- Practice address
- 505 N Judd Pkwy NE Ste 105
Fuquay Varina, NC 27526-2389 - Phone
- (919) 762-6161
- NPI assigned
- Jun 24, 2021
- Last updated
- Mar 5, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 11707 | NC | |
| Marriage & Family Therapist | 106H00000X | 20292A | NC | Primary |
Addresses
Primary practice location
505 N Judd Pkwy NE Ste 105
Fuquay Varina, NC 27526-2389
Mailing address
1441 E Broad St Ste 194
Fuquay Varina, NC 27526-1968
Phone (919) 762-6161
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20292A | NC | MD | Marriage & Family Therapist |
| 11707 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 4 Love Counseling & Consulting, PLLC | Marriage & Family Therapist | Past | Accepting new patients |
| Valiant Couples Therapy and Consulting, PLLC | Marriage & Family Therapist | Past | 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.
-
- Marriage & Family Therapist
- Fayetteville, NC
- NPI 1023663028
-
- Marriage & Family Therapist
- Fuquay Varina, NC
- NPI 1043810658
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772668800000",
"number": "1366011272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1441 E BROAD ST STE 194",
"city": "FUQUAY VARINA",
"state": "NC",
"postal_code": "275261968",
"telephone_number": "919-762-6161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 N JUDD PKWY NE STE 105",
"city": "FUQUAY VARINA",
"state": "NC",
"postal_code": "275262389",
"telephone_number": "919-762-6161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "ASHLEY",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-24",
"last_updated": "2026-03-05",
"certification_date": "2026-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NC",
"license": "11707",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NC",
"license": "20292A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fuquay Varina, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.