Individual provider Active NPI

Ashlyn Elise Douglass-Barnes, LCSW

  • Clinical Social Worker
  • Winter Park, FL
National Provider Identifier
1134544851
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW11394 Issued in FL
Practice address
2100 Lee Rd
Suite a
Winter Park, FL 32789-1862
Phone
(407) 644-7593
Fax
(407) 628-0773
NPI assigned
Mar 4, 2014
Last updated
Sep 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW11394 FL Primary

Addresses

Primary practice location

2100 Lee Rd
Suite a
Winter Park, FL 32789-1862

Mailing address

2100 Lee Rd
Suite a
Winter Park, FL 32789-1862
Phone (407) 644-7593

Other practice location 1

1950 Lee Rd Ste 110
Winter Park, FL 32789-1847
Phone (407) 561-3459

Other identifiers 1

IdentifierTypeStateIssuer
001190800MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Ashlyn@advancebariatriccounseling.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20140416001606 FL Practitioner - Clinical Social Worker 5294967717 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Advance Bariatric CounselingGroup PAC ID 9739417254, 4 clinicians

Practice addresses (Care Compare)

1950 Lee Rd
Suite 110
Winter Park, FL 32789-1847
Phone (407) 564-3459

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW11394FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Bariatric Counseling Clinical CurrentSince Jul 17, 2019 Accepting new patients
Compass Counseling Services,LLC Past Accepting new patients

Locations

1950 Lee Rd
Ste 110
Winter Park, FL 32789
Phone (407) 561-3459

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: ashlyn@advancebariatriccounseling.com

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": "1393891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1134544851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 LEE RD",
            "address_2": "SUITE A",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327891862",
            "telephone_number": "407-644-7593",
            "fax_number": "407-628-0773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 LEE RD",
            "address_2": "SUITE A",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327891862",
            "telephone_number": "407-644-7593",
            "fax_number": "407-628-0773"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1950 Lee Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Winter Park",
            "state": "FL",
            "postal_code": "327891847",
            "country_code": "US",
            "telephone_number": "407-561-3459",
            "fax_number": "321-296-6847",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOUGLASS-BARNES",
        "first_name": "ASHLYN",
        "middle_name": "ELISE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-04",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW11394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001190800",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Ashlyn@advancebariatriccounseling.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "2100 Lee Rd",
            "address_2": "Suite A",
            "city": "Winter Park",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327891862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

Verify at the official NPI Registry.