Active NPI
Ethan Schilling, PHD, LCP, NCSP
- Clinical Psychologist
- Ashland, VA
National Provider Identifier
1639011950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0810009017
- Practice address
- 9568 Kings Charter Dr Ste 100B
Ashland, VA 23005-7955 - Phone
- (804) 206-9283
- NPI assigned
- Apr 7, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0810009017 | VA | Primary |
Addresses
Primary practice location
9568 Kings Charter Dr Ste 100B
Ashland, VA 23005-7955
Mailing address
230 N 6TH St Unit 601
Richmond, VA 23219-1881
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0810009017 | VA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1775520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775520000000",
"number": "1639011950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 N 6TH ST UNIT 601",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232191881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9568 KINGS CHARTER DR STE 100B",
"city": "ASHLAND",
"state": "VA",
"postal_code": "230057955",
"telephone_number": "804-206-9283"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHILLING",
"first_name": "ETHAN",
"name_prefix": "Dr.",
"credential": "PHD, LCP, NCSP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-04-07",
"last_updated": "2026-04-07",
"certification_date": "2026-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810009017",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ashland, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.