Individual provider Active NPI

Ashley Ann Schmitz, LPC, CSAC

  • Professional Counselor
  • Port Washington, WI
National Provider Identifier
1013127158
Registry record updated Feb 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4313-125 Issued in WI
Practice address
127 N Franklin St Ste 206
Port Washington, WI 53074-1948
Phone
(262) 235-4385
Fax
(414) 310-0377
NPI assigned
May 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 15485-132 WI
Professional Counselor 101YP2500X 4313-125 WI Primary

Addresses

Primary practice location

127 N Franklin St Ste 206
Port Washington, WI 53074-1948

Mailing address

127 N Franklin St Ste 206
Port Washington, WI 53074-1948

Other identifiers 3

IdentifierTypeStateIssuer
1013127158OtherWINPI NUMBER
15485-132OtherWICLINICAL SUBSTANCE ABUSE COUNSELOR
4313-125OtherWILICENSED PROFESSIONAL COUNSELOR

Other names 1

  • Ms. Ashley Ann Wegener Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
15485-132WIMDAddiction (Substance Use Disorder) Counselor
4313-125WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Best Self Counseling Center LLP CurrentSince Jan 31, 2021 Accepting new patients
Affiliated Clinical Services Inc PastSince Oct 1, 2019 Accepting new patients

Locations

127 N Franklin St
Ste 207
Port Washington, WI 53074
Phone (262) 235-4385

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1013127158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 N FRANKLIN ST STE 206",
            "city": "PORT WASHINGTON",
            "state": "WI",
            "postal_code": "530741948",
            "fax_number": "262-338-9767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 N FRANKLIN ST STE 206",
            "city": "PORT WASHINGTON",
            "state": "WI",
            "postal_code": "530741948",
            "telephone_number": "262-235-4385",
            "fax_number": "414-310-0377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMITZ",
        "first_name": "ASHLEY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LPC, CSAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "15485-132",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "4313-125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1013127158",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINICAL SUBSTANCE ABUSE COUNSELOR",
            "identifier": "15485-132",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED PROFESSIONAL COUNSELOR",
            "identifier": "4313-125",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "WEGENER",
            "middle_name": "ANN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Port Washington, WI

Sources for this page

Verify at the official NPI Registry.