Individual provider Active NPI

Ashley Hartfik, MA, LPC, CAADC, NCC

  • Mental Health Counselor
  • Rockford, MI
National Provider Identifier
1164828612
Registry record updated Apr 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6401013746 Issued in MI
Practice address
502 Northland Dr NE Ste a
Rockford, MI 49341-7246
Phone
(616) 805-3660
NPI assigned
Nov 11, 2014
Reactivated
Apr 20, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401013746 MI
Mental Health Counselor 101YM0800X 6401013746 MI Primary

Addresses

Primary practice location

502 Northland Dr NE Ste a
Rockford, MI 49341-7246

Mailing address

360 E Beltline Ave NE Ste 100
Grand Rapids, MI 49506-1214
Phone (616) 805-3660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260310002353 MI Practitioner - Mental Health Counselor 7012490964 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Simply Mindful Counseling LLCGroup PAC ID 6800282963, 12 clinicians

Practice addresses (Care Compare)

340 N Main St
Suite 201
Plymouth, MI 48170-1290
Phone (734) 335-0605

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6401013746MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Simply Mindful Counseling, LLC CurrentSince Mar 1, 2026 Accepting new patients
Counseling Center of West Michigan, LLC Mental Health PastSince Apr 25, 2021 Accepting new patients

Locations

340 N Main St
Ste 201
Plymouth, MI 48170
Phone (734) 335-0605

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.

NPI Registry JSON

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

{
    "created_epoch": "1415664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618963200000",
    "number": "1164828612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 E BELTLINE AVE NE STE 100",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495061214",
            "telephone_number": "616-805-3660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 NORTHLAND DR NE STE A",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "493417246",
            "telephone_number": "616-805-3660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTFIK",
        "first_name": "ASHLEY",
        "name_prefix": "Miss",
        "credential": "MA, LPC, CAADC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-11",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "deactivation_date": "2020-11-03",
        "reactivation_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401013746",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401013746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, MI

Sources for this page

Verify at the official NPI Registry.