Individual provider Active NPI

Ashley McIlwain, MA, LMFT

  • Marriage & Family Therapist
  • Raleigh, NC
National Provider Identifier
1881014819
Registry record updated Jan 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT-1831 Issued in NC
Practice address
9370 Falls of Neuse Rd Ste 203
Raleigh, NC 27615-2487
Phone
(919) 569-5820
NPI assigned
Apr 17, 2014
Last updated
Jan 10, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LMFTA - 9080A NC
Marriage & Family Therapist 106H00000X LMFT-1831 NC Primary

Addresses

Primary practice location

9370 Falls of Neuse Rd Ste 203
Raleigh, NC 27615-2487

Mailing address

9650 Strickland Rd
Suite 103-180
Raleigh, NC 27615-1902

Other names 1

  • Ashley Poleck Former name

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
Master of Arts

State licenses

LicenseStateTypeSpecialty
LMFT-1831NCMDMarriage & Family Therapist
LMFTA - 9080ANCMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Foundation Restoration Inc. Marriage & Family Therapist Current Accepting new patients

Locations

9370 Falls of Neuse Rd
Ste 203
Raleigh, NC 27615
Phone (919) 559-4662

9650 Strickland Rd
Ste 103180
Raleigh, NC 27615
Phone (919) 569-5820

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": "1397692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515542400000",
    "number": "1881014819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9650 STRICKLAND RD",
            "address_2": "SUITE 103-180",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276151902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9370 FALLS OF NEUSE RD STE 203",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276152487",
            "telephone_number": "919-569-5820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCILWAIN",
        "first_name": "ASHLEY",
        "credential": "MA, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-17",
        "last_updated": "2018-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "LMFTA - 9080A",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "LMFT-1831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "POLECK",
            "credential": "LMFTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2018; 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.