Individual provider Active NPI

Ashley Lee Smith, MA, LPCC

  • Professional Counselor
  • Foley, MN
National Provider Identifier
1164080578
Registry record updated May 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CC02124 Issued in MN
Practice address
400 Broadway Ave N
Foley, MN 56329-8794
Phone
(320) 200-4151
Fax
(218) 264-8254
NPI assigned
May 31, 2019
Last updated
May 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X CC02124 MN Primary

Addresses

Primary practice location

400 Broadway Ave N
Foley, MN 56329-8794

Mailing address

400 Broadway Ave N
Foley, MN 56329-8794
Phone (320) 200-4151

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 Arts

State licenses

LicenseStateTypeSpecialty
CC02124MNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Journey Through Mental Health and Personal Wellness PLLC Current Accepting new patients
Vanda Counseling and Psychological Services Past Accepting new patients

Locations

400 Broadway Ave N
Foley, MN 56329
Phone (320) 200-4151

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": "1559260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714694400000",
    "number": "1164080578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 BROADWAY AVE N",
            "city": "FOLEY",
            "state": "MN",
            "postal_code": "563298794",
            "telephone_number": "320-200-4151",
            "fax_number": "218-264-8254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 BROADWAY AVE N",
            "city": "FOLEY",
            "state": "MN",
            "postal_code": "563298794",
            "telephone_number": "320-200-4151",
            "fax_number": "218-264-8254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ASHLEY",
        "middle_name": "LEE",
        "credential": "MA, LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-31",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "CC02124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Foley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; 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.