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MS. ASHLEY PATRICIA WISE LMFT
NPI 1063974392
Marriage & Family Therapist in Chantilly, VA

Active since April 04, 2019PECOS Enrolled
14150 PARKEAST CIR STE 200, CHANTILLY, VA 20151(703) 968-4038 Get Directions Write a Review

NPPES record last updated: February 6, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Feb 6, 2024, Apr 4, 2019 (2 updates tracked since 2019).

About Ms. Ashley Patricia Wise Lmft NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. ASHLEY PATRICIA WISE LMFT (NPI 1063974392) is an individual marriage & family therapist in Chantilly, Virginia, licensed in Virginia (0717001537) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Gainesville.

NPPES Registry Identity

NPI1063974392
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMS. ASHLEY PATRICIA WISECredential: LMFT
Location Address14150 PARKEAST CIR STE 200Chantilly, VA 20151-4212
Mailing Address14150 Parkeast Cir Ste 200Chantilly, VA 20151-4212 · (703) 968-4038
Phone(703) 968-4038
Sole ProprietorNo
Enumeration DateApril 4, 2019
Last NPPES UpdateFebruary 6, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 20, 2022
✔ NPI 1063974392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in VA · 0717001537
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
14150 PARKEAST CIR STE 200, Chantilly, VA 20151
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Secondary Practice Location 1

Location 17230 Heritage Village Plz Ste 202Gainesville, VA 20155-3054 · Phone (571) 222-5180

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Ashley Patricia Wise Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ELAINE REEVES GREEN MD
Psychiatry & Neurology (Psychiatry)
14150 PARKEAST CIR STE 200
CHANTILLY, VA 20151
Fairfax County (703) 968-4000
MS. MARY CHILCUTT L.C.S.W.
Social Worker (Clinical)
14150 PARKEAST CIR STE 200
CHANTILLY, VA 20151
Fairfax County (703) 968-4037
CHRISTINE KROHL HEATON LPC, LMFT
Counselor (Professional)
14150 PARKEAST CIR STE 200
FAIRFAX, VA 20151
Fairfax County (703) 968-4000
SI CHEN
Licensed Practical Nurse
14150 PARKEAST CIR STE 200
CHANTILLY, VA 20151
Fairfax County (703) 968-4000
RYAN LYNCH
Counselor (Professional)
14150 PARKEAST CIR STE 200
CHANTILLY, VA 20151
Fairfax County (703) 968-4000
PAMELA JO DIXON-PREDMORE L.P.C.
Counselor (Professional)
14150 PARKEAST CIR STE 200
CHANTILLY, VA 20151
Fairfax County (703) 968-4019
MS. KULDEEP KAUR
Registered Nurse (Psychiatric/Mental Health, Adult)
14150 PARKEAST CIR STE 200
CHANTILLY, VA 20151
Fairfax County (703) 968-4000
MR. GAKU FUJIYAMA
Counselor (Professional)
14150 PARKEAST CIR STE 200
CHANTILLY, VA 20151
Fairfax County (703) 968-4000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ashley Wise's NPI number?

The NPI number for Ashley Wise is 1063974392. It was assigned to this individual provider in the NPPES registry on April 4, 2019.

Where is Ashley Wise located?

Ashley Wise practices at 14150 Parkeast Cir Ste 200, Chantilly, VA 20151. The listed phone number is (703) 968-4038.

What is Ashley Wise's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Ashley Wise enrolled in Medicare?

Yes. Ashley Wise is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ashley Wise was last updated on February 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.