Individual provider Active NPI

Ashley Mitchell, LPC

  • Mental Health Counselor
  • Burke, VA
National Provider Identifier
1760904270
Registry record updated Apr 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0701006688 Issued in VA
Practice address
9022 Brook Ford Rd
Burke, VA 22015-3612
Phone
(301) 503-9504
NPI assigned
Jul 17, 2017
Last updated
Apr 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 070106688 VA
Mental Health Counselor 101YM0800X 0701006688 VA Primary

Addresses

Primary practice location

9022 Brook Ford Rd
Burke, VA 22015-3612

Mailing address

9022 Brook Ford Rd
Burke, VA 22015-3612
Phone (301) 503-9504

Other practice location 1

6717 Bostwick Dr
Springfield, VA 22151-3711
Phone (301) 503-9504

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
0701006688VAMDMental Health Counselor
070106688VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Guided Reflections Mental Health CurrentSince Mar 19, 2023 Accepting new patients

Organizations & group practices 1

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": "1500249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682553600000",
    "number": "1760904270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9022 BROOK FORD RD",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220153612",
            "telephone_number": "301-503-9504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9022 BROOK FORD RD",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220153612",
            "telephone_number": "301-503-9504"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6717 Bostwick Dr",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "VA",
            "postal_code": "221513711",
            "country_code": "US",
            "telephone_number": "301-503-9504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "ASHLEY",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-17",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "070106688",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701006688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; 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.