Individual provider Active NPI

Ashley Mae Terry, LPC

  • Professional Counselor
  • Clarksville, VA
National Provider Identifier
1952708950
Registry record updated Nov 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701005975 Issued in VA
Practice address
110 College St
Clarksville, VA 23927-9122
Phone
(434) 347-3222
NPI assigned
Nov 20, 2014
Last updated
Nov 20, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701005975 VA Primary

Addresses

Primary practice location

110 College St
Clarksville, VA 23927-9122

Mailing address

PO Box 405
Clarksville, VA 23927-0405
Phone (434) 347-3222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20260519003501 NC Practitioner - Mental Health Counselor 1052880010 Reassigns benefits to 1 organization
I20260526001392 DC Practitioner - Mental Health Counselor 1052880010 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0701005975VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Braiin Oxford PLLC Current Accepting new patients

Locations

1415 College St
Oxford, NC 27565
Phone (919) 693-0752

Organizations & group practices 2

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": "1416441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416441600000",
    "number": "1952708950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 405",
            "city": "CLARKSVILLE",
            "state": "VA",
            "postal_code": "239270405",
            "telephone_number": "434-347-3222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 COLLEGE ST",
            "city": "CLARKSVILLE",
            "state": "VA",
            "postal_code": "239279122",
            "telephone_number": "434-347-3222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRY",
        "first_name": "ASHLEY",
        "middle_name": "MAE",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-20",
        "last_updated": "2014-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701005975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, VA

Sources for this page

Verify at the official NPI Registry.