Individual provider Active NPI

Ashley Pace, CMHC

  • Mental Health Counselor
  • St George, UT
National Provider Identifier
1104217496
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
9270168-6009 Issued in UT
Practice address
1240 E 100 S Ste 204
St George, UT 84790-3077
Phone
(435) 691-1365
NPI assigned
Feb 9, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 9270168-6009 UT Primary

Addresses

Primary practice location

1240 E 100 S Ste 204
St George, UT 84790-3077

Mailing address

982 E Lost Ridge Dr
Washington, UT 84780-8189
Phone (435) 691-1365

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20240425002097 UT Practitioner - Mental Health Counselor 3577903483 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9270168-6009UTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sage Circle Counseling Center CurrentSince Apr 1, 2024 Accepting new patients
Feather Ridge Counseling Center Mental Health CurrentSince Mar 24, 2024 Accepting new patients

Locations

225 N Bluff St
Ste 5
St George, UT 84770
Phone (435) 229-5240

1240 E 100 S
Ste 204
St George, UT 84790
Phone (435) 691-1365

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": "1423440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1104217496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "982 E LOST RIDGE DR",
            "city": "WASHINGTON",
            "state": "UT",
            "postal_code": "847808189",
            "telephone_number": "435-691-1365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 E 100 S STE 204",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847903077",
            "telephone_number": "435-691-1365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACE",
        "first_name": "ASHLEY",
        "credential": "CMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-09",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "9270168-6009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

Verify at the official NPI Registry.