Individual provider Active NPI

Ashley Mitchell

  • Marriage & Family Therapist
  • Fuquay Varina, NC
National Provider Identifier
1366011272
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
20292A Issued in NC
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
20292ANCMDMarriage & Family Therapist
11707NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
4 Love Counseling & Consulting, PLLC Marriage & Family Therapist PastSince Oct 6, 2024 Accepting new patients
Valiant Couples Therapy and Consulting, PLLC Marriage & Family Therapist PastSince Nov 8, 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": "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.

Verify at the official NPI Registry.