Individual provider Active NPI

Ashley Nicole Whitted, LPC, CSAT

  • Mental Health Counselor
  • Denton, TX
National Provider Identifier
1154987675
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
81443 Issued in TX
Practice address
1811 Bolivar St
Denton, TX 76201-3044
Phone
(940) 553-0837
NPI assigned
May 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 45890 TX
Mental Health Counselor 101YM0800X 81443 TX Primary

Addresses

Primary practice location

1811 Bolivar St
Denton, TX 76201-3044

Mailing address

1811 Bolivar St
Denton, TX 76201-3044
Phone (979) 319-0856

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

LicenseStateTypeSpecialty
45890TXMDAddiction (Substance Use Disorder) Counselor
81443TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Authentic Roots Counseling PLLC CurrentSince Oct 1, 2023 Accepting new patients

Locations

1811 Bolivar St
Denton, TX 76201
Phone (940) 553-0837

Organizations & group practices 1

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": "1557446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1154987675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 BOLIVAR ST",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762013044",
            "telephone_number": "979-319-0856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 BOLIVAR ST",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762013044",
            "telephone_number": "940-553-0837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITTED",
        "first_name": "ASHLEY",
        "middle_name": "NICOLE",
        "credential": "LPC, CSAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-10",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "45890",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "81443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.