Individual provider Active NPI

Ashley Dawn McCutcheon

  • Mental Health Counselor
  • Alexandria, VA
National Provider Identifier
1487206405
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0704008547 Issued in VA
Practice address
709 Pendleton St Ste 201
Alexandria, VA 22314-1820
Phone
(757) 317-5012
Fax
(757) 317-5974
NPI assigned
Jul 10, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0704008547 VA Primary

Addresses

Primary practice location

709 Pendleton St Ste 201
Alexandria, VA 22314-1820

Mailing address

PO Box 8037
Alexandria, VA 22306-0018
Phone (757) 317-5012

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
0704008547VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Chaos to Clarity Counseling & Consulting LLC Mental Health CurrentSince Mar 4, 2021 Accepting new patients
Coastal Light Counseling & Psychology, PLLC PastSince Apr 9, 2023 Accepting new patients
Coastal Light Counseling & Psychotherapy, PLLC PastSince Apr 9, 2023 Accepting new patients

Locations

709 Pendleton St
Ste 201
Alexandria, VA 22314
Phone (703) 755-0260

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1562716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1487206405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8037",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223060018",
            "telephone_number": "757-317-5012",
            "fax_number": "757-317-5974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 PENDLETON ST STE 201",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223141820",
            "telephone_number": "757-317-5012",
            "fax_number": "757-317-5974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCUTCHEON",
        "first_name": "ASHLEY",
        "middle_name": "DAWN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-10",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0704008547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; 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.