Active NPI
Ashley Smith Gottschalk, BCCC
- Counselor
- Peachtree Corners, GA
National Provider Identifier
1124802681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 05233846
- Practice address
- 4989 Peachtree Pkwy
Peachtree Corners, GA 30092-2589 - Phone
- (678) 969-3353
- NPI assigned
- Aug 23, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 05233846 | GA | Primary |
Addresses
Primary practice location
4989 Peachtree Pkwy
Peachtree Corners, GA 30092-2589
Mailing address
2588 Horseshoe Bend LN
Bogart, GA 30622-2798
Phone (706) 248-1903
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05233846 | GA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692748800000",
"number": "1124802681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2588 HORSESHOE BEND LN",
"city": "BOGART",
"state": "GA",
"postal_code": "306222798",
"telephone_number": "706-248-1903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4989 PEACHTREE PKWY",
"city": "PEACHTREE CORNERS",
"state": "GA",
"postal_code": "300922589",
"telephone_number": "678-969-3353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOTTSCHALK",
"first_name": "ASHLEY",
"middle_name": "SMITH",
"credential": "BCCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-23",
"last_updated": "2023-08-23",
"certification_date": "2023-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "GA",
"license": "05233846",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Peachtree Corners, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.