Individual provider Active NPI

Ashlee Elizabeth Brisentine, LPC, M.S.

  • Mental Health Counselor
  • Springfield, OR
National Provider Identifier
1144661919
Registry record updated Nov 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C4243 Issued in OR
Practice address
500 Main St Ste D
Springfield, OR 97477-5484
Phone
(541) 238-5771
Fax
(541) 393-9869
NPI assigned
Jul 9, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X
Mental Health Counselor 101YM0800X C4243 OR Primary

Addresses

Primary practice location

500 Main St Ste D
Springfield, OR 97477-5484

Mailing address

500 Main St Ste D
Springfield, OR 97477-5484
Phone (541) 729-1930

Other practice location 1

66 Club Rd Ste 350
Eugene, OR 97401-2599
Phone (541) 343-1728

Other names 1

  • Ms. Ashlee Elizabeth Armstrong Former name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
C4243ORMDMental Health Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1373328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699747200000",
    "number": "1144661919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 MAIN ST STE D",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974775484",
            "telephone_number": "541-729-1930",
            "fax_number": "541-393-9869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MAIN ST STE D",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974775484",
            "telephone_number": "541-238-5771",
            "fax_number": "541-393-9869"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "66 Club Rd Ste 350",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974012599",
            "country_code": "US",
            "telephone_number": "541-343-1728",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRISENTINE",
        "first_name": "ASHLEE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "LPC, M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-09",
        "last_updated": "2023-11-12",
        "certification_date": "2023-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C4243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEE",
            "last_name": "ARMSTRONG",
            "middle_name": "ELIZABETH",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Springfield, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.

Verify at the official NPI Registry.