Ashley Lee Smith, MA, LPCC

Individual provider Active NPI Professional Counselor · Foley, MN

NPI 1164080578 · NPPES record last updated May 3, 2024

Key facts

NPI
1164080578
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
CC02124 (MN)
Practice address
400 Broadway Ave N
Foley, MN 56329-8794
Phone
(320) 200-4151
Fax
(218) 264-8254
NPI assigned
May 31, 2019
Sex
Female
Sole proprietor
Yes

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
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

Specialties & licenses

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

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

Other providers in Foley, MN

All providers in Foley, MN · Professional Counselor in Minnesota

Sources for this page

Verify at the official NPI Registry.