Active NPI
Ashley Lee Smith, MA, LPCC
- Professional Counselor
- Foley, MN
National Provider Identifier
1164080578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- CC02124
- 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, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| CC02124 | MN | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Mental Health Counselor
- Foley, MN
- NPI 1659136596
-
- Community/Behavioral Health Agency
- Golden Valley, MN
- NPI 1295131779
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
- Casey Marie Schmidt, LPN
- Tara Ashley Schmidt, MASSAGE THERAPIST
- Schu-Tran LLC
- Alysse Alexandra Sherk
- Smart Spine Community Chiropractic Inc. (Foley Wellness Center)
- Kevin K Stiles, MD
- The Gardens at Foley LLC
- Michelle Thorsness, CNP
- True North Family Clinic, LLC (True North Family Clinic)
- Evelyn Maureen Vearrier
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.