Active NPI
Ashley Lynn Simon, MS, AMFT, APCC
- Mental Health Counselor
- Corte Madera, CA
National Provider Identifier
1013758606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 141904
- Practice address
- 100 Tamal PLZ Ste 107
Corte Madera, CA 94925-1165 - Phone
- (415) 497-1334
- NPI assigned
- Jun 5, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 141904 | CA | Primary |
Addresses
Primary practice location
100 Tamal PLZ Ste 107
Corte Madera, CA 94925-1165
Mailing address
100 Tamal PLZ Ste 107
Corte Madera, CA 94925-1165
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 141904 | CA | MD | Hospitalist Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717545600000",
"number": "1013758606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 TAMAL PLZ STE 107",
"city": "CORTE MADERA",
"state": "CA",
"postal_code": "949251165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 TAMAL PLZ STE 107",
"city": "CORTE MADERA",
"state": "CA",
"postal_code": "949251165",
"telephone_number": "415-497-1334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMON",
"first_name": "ASHLEY",
"middle_name": "LYNN",
"credential": "MS, AMFT, APCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-05",
"last_updated": "2024-06-05",
"certification_date": "2024-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "141904",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corte Madera, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.