Individual provider Active NPI

Ashleigh Camille Jackson

  • Mental Health Counselor
  • Temple Hills, MD
National Provider Identifier
1932968542
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0701015388 Issued in VA
Practice address
4518 Beech Rd Ste 230
Temple Hills, MD 20748-6735
Phone
(202) 643-3592
NPI assigned
Mar 18, 2024
Last updated
Oct 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0701015388 VA Primary

Addresses

Primary practice location

4518 Beech Rd Ste 230
Temple Hills, MD 20748-6735

Mailing address

6524 Woodlake Village Cir
Midlothian, VA 23112-2200
Phone (540) 699-0226

Other names 1

  • Ashleigh Camille Serrano Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260401002634 VA Practitioner - Mental Health Counselor 8820573355 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Resilience Counseling and Social Skills Center LLCGroup PAC ID 4082088570, 28 clinicians

Practice addresses (Care Compare)

2052 Richmond Hwy
Suite 201
Stafford, VA 22554-7286
Phone (540) 699-0226

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0701015388VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Resilience Counseling & Social Skills Center LLC Multi-Specialty CurrentSince Nov 8, 2025 Accepting new patients

Locations

1135 Heatherstone Dr
Fredericksburg, VA 22407
Phone (540) 699-0226

6524 Woodlake Village Cir
Midlothian, VA 23112
Phone (540) 699-0226

2052 Richmond Hwy
Ste 201
Stafford, VA 22554
Phone (540) 699-0226

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": "1710720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1932968542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6524 WOODLAKE VILLAGE CIR",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231122200",
            "telephone_number": "540-699-0226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4518 BEECH RD STE 230",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207486735",
            "telephone_number": "202-643-3592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "ASHLEIGH",
        "middle_name": "CAMILLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-18",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701015388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEIGH",
            "last_name": "SERRANO",
            "middle_name": "CAMILLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Temple Hills, MD

Sources for this page

Verify at the official NPI Registry.