Active NPI
Ashley Mitchell, LPC
- Mental Health Counselor
- Burke, VA
National Provider Identifier
1760904270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0701006688
- Practice address
- 9022 Brook Ford Rd
Burke, VA 22015-3612 - Phone
- (301) 503-9504
- NPI assigned
- Jul 17, 2017
- Last updated
- Apr 27, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 0701006688 | VA | MD | Mental Health Counselor |
| 070106688 | VA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guided Reflections | Mental Health | Current | 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.