Individual provider Active NPI

Ashley H. Freeman, PH.D.

  • Clinical Psychologist
  • West Des Moines, IA
National Provider Identifier
1700134228
Registry record updated Oct 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810004905 Issued in VA
Practice address
3408 Woodland Ave Ste 102
West Des Moines, IA 50266-6504
Phone
(152) 577-1555
NPI assigned
Aug 15, 2012
Last updated
Oct 22, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2019

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 0810004905 VA
Clinical Psychologist 103TC0700X 0810004905 VA Primary
Counseling Psychologist 103TC1900X 4327 NC
Counseling Psychologist 103TC1900X 0810004905 VA
Group Psychotherapy Psychologist 103TP2701X 0810004905 VA

Addresses

Primary practice location

3408 Woodland Ave Ste 102
West Des Moines, IA 50266-6504

Mailing address

3408 Woodland Ave Ste 102
West Des Moines, IA 50266-6504
Phone (152) 577-1555

Other practice location 1

5821 Staples Mill Rd
Richmond, VA 23228-5427
Phone (804) 264-0966

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL ashleyfreemanphd.com Direct

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0810004905VAMDGroup Psychotherapy Psychologist
4327NCMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1344988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571702400000",
    "number": "1700134228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3408 WOODLAND AVE STE 102",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502666504",
            "telephone_number": "152-577-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3408 WOODLAND AVE STE 102",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502666504",
            "telephone_number": "152-577-1555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5821 Staples Mill Rd",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232285427",
            "country_code": "US",
            "telephone_number": "804-264-0966",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "ASHLEY",
        "middle_name": "H.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-15",
        "last_updated": "2019-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "VA",
            "license": "0810004905",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810004905",
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NC",
            "license": "4327",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "VA",
            "license": "0810004905",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "VA",
            "license": "0810004905",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ashleyfreemanphd.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3408 Woodland Ave Ste 102",
            "city": "West Des Moines",
            "state": "IA",
            "country_code": "US",
            "postal_code": "502666504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2019; 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.