Individual provider Active NPI

Ashley Monique Harris, CSAC-S

  • Community/Behavioral Health Agency
  • Richmond, VA
National Provider Identifier
1932912573
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
0709025220 Issued in VA
Practice address
2405 Westwood Ave Ste B
Richmond, VA 23230-4006
Phone
(786) 269-3907
NPI assigned
Jan 28, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 0709025220 VA Primary

Addresses

Primary practice location

2405 Westwood Ave Ste B
Richmond, VA 23230-4006

Mailing address

2405 Westwood Ave Ste B
Richmond, VA 23230-4006
Phone (786) 269-3907

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
0709025220VAMDCommunity/Behavioral Health Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Haven Behavioral Health, LLC Community/Behavioral Health CurrentSince Feb 2, 2025 Accepting new patients

Locations

2405 Westwood Ave
Ste B
Richmond, VA 23230
Phone (786) 269-3907

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1738022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1932912573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2405 WESTWOOD AVE STE B",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232304006",
            "telephone_number": "786-269-3907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2405 WESTWOOD AVE STE B",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232304006",
            "telephone_number": "786-269-3907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "ASHLEY",
        "middle_name": "MONIQUE",
        "credential": "CSAC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-28",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "0709025220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; 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.