Individual provider Active NPI

Ashley Monita Lippens, LCSW

  • Mental Health Counselor
  • Macomb, IL
National Provider Identifier
1033761234
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
149020767 Issued in IL
Practice address
460 S Deer Rd
Macomb, IL 61455-2602
Phone
(309) 575-3960
Fax
(309) 575-3988
NPI assigned
Jul 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 149020767 IL Primary
Clinical Social Worker 1041C0700X 149.020767 IL

Addresses

Primary practice location

460 S Deer Rd
Macomb, IL 61455-2602

Mailing address

927 Broadway St
Quincy, IL 62301-2719
Phone (217) 224-4453

Other names 1

  • Ashley Smith Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20190805001237 IL Practitioner - Clinical Social Worker 3173850849 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therapeutic Solutions of Macomb LLCGroup PAC ID 1052854288, 8 clinicians

Practice addresses (Care Compare)

460 S Deere Rd
Macomb, IL 61455
Phone (309) 333-9829

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149020767ILMDMental Health Counselor
149.020767ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Therapeutic Solutions of Macomb LLC Mental Health CurrentSince Jan 1, 2026 Accepting new patients

Locations

460 S Deer Rd
Macomb, IL 61455
Phone (309) 333-9829

Organizations & group practices 1

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": "1562630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1033761234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "927 BROADWAY ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623012719",
            "telephone_number": "217-224-4453",
            "fax_number": "217-224-9383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 S DEER RD",
            "city": "MACOMB",
            "state": "IL",
            "postal_code": "614552602",
            "telephone_number": "309-575-3960",
            "fax_number": "309-575-3988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPPENS",
        "first_name": "ASHLEY",
        "middle_name": "MONITA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-09",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "149020767",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.020767",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "SMITH",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Macomb, IL

Sources for this page

Verify at the official NPI Registry.