Individual provider Active NPI

Ashley R. Willson

  • Professional Counselor
  • Kaufman, TX
National Provider Identifier
1023435765
Registry record updated Jul 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
69231 Issued in TX
Practice address
506 S Washington St
Kaufman, TX 75142-2406
Phone
(972) 932-8898
Fax
(972) 932-8890
NPI assigned
Mar 19, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2023

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 69231 TX Primary

Addresses

Primary practice location

506 S Washington St
Kaufman, TX 75142-2406

Mailing address

PO Box 2475
Forney, TX 75126-2475
Phone (972) 932-8898

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240814003246 TX Practitioner - Mental Health Counselor 5799223327 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
69231TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ashley Willson, LPC PC CurrentSince Jun 3, 2024 Accepting new patients
Samantha White LPC LLC Professional CurrentSince May 11, 2026 Accepting new patients

Locations

402 S Washington St
Ste B
Kaufman, TX 75142
Phone (972) 932-8898

506 S Washington St
Kaufman, TX 75142
Phone (972) 932-8898

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": "1395187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1023435765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2475",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751262475",
            "telephone_number": "972-932-8898",
            "fax_number": "972-932-8890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 S WASHINGTON ST",
            "city": "KAUFMAN",
            "state": "TX",
            "postal_code": "751422406",
            "telephone_number": "972-932-8898",
            "fax_number": "972-932-8890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLSON",
        "first_name": "ASHLEY",
        "middle_name": "R.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-19",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "69231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kaufman, TX

Sources for this page

Verify at the official NPI Registry.