MEDICARE: DR. ASHLEY ELLIOTT-ADAMS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	PSYA00130	DC
2	101Y00000X	Counselor

General Provider Information

NPI Number	:	1437691227
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ASHLEY ELLIOTT-ADAMS

Provider Business Mailing Address
First Line	:	4020 MINNESOTA AVE NE
Second Line	:	UNIT 271
City	:	WASHINGTON
State	:	DC
Zip	:	20019-3520
Country	:	US
Telephone Number	:	202-286-2077
Fax Number	:

Provider Business Practice Location Address
First Line	:	8403 COLESVILLE RD
Second Line	:	SUITE 1100
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-6331
Country	:	US
Telephone Number	:	301-367-4827
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/09/2016
Last Update Date	:	01/09/2017

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