Active NPI
Ashley Holcman, LCPC
- Counselor
- Ottawa, IL
National Provider Identifier
1134599087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 180.011017
- Practice address
- 807 La Salle St
Ottawa, IL 61350-2073 - Phone
- (630) 708-0197
- NPI assigned
- Oct 5, 2015
- Last updated
- Dec 2, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 178.011259 | IL | |
| Counselor | 101Y00000X | 180.011017 | IL | Primary |
Addresses
Primary practice location
807 La Salle St
Ottawa, IL 61350-2073
Mailing address
2176 N State Route 178
Tonica, IL 61370-9778
Phone (815) 326-1186
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 |
|---|---|---|---|
| 178.011259 | IL | MD | Counselor |
| 180.011017 | IL | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kokoro Counseling, LLC. | Counselor | Current | Accepting new patients |
| Gateway Services, Inc | Past | Accepting new patients |
Locations
807 La Salle St
Ottawa, IL 61350
Phone (630) 708-0197
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.
-
- Counselor
- Ottawa, IL
- NPI 1083236806
-
- Developmentally Disabled Services Day Training Agency
- Princeton, IL
- NPI 1003287210
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638403200000",
"number": "1134599087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2176 N STATE ROUTE 178",
"city": "TONICA",
"state": "IL",
"postal_code": "613709778",
"telephone_number": "815-326-1186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "807 LA SALLE ST",
"city": "OTTAWA",
"state": "IL",
"postal_code": "613502073",
"telephone_number": "630-708-0197"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLCMAN",
"first_name": "ASHLEY",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-10-05",
"last_updated": "2021-12-02",
"certification_date": "2021-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "IL",
"license": "178.011259",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "IL",
"license": "180.011017",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ottawa, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.