Individual provider Active NPI

Ashley L Lavine

  • Professional Counselor
  • Arkadelphia, AR
National Provider Identifier
1164838660
Registry record updated Jun 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
P2111004 Issued in AR
Practice address
2503 Pine St Ste 4
Arkadelphia, AR 71923-4368
Phone
(940) 641-6768
NPI assigned
Jul 3, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A1804037 AR
Mental Health Counselor 101YM0800X 92419 TX
Mental Health Counselor 101YM0800X P2111004 AR
Case Manager/Care Coordinator 171M00000X
Professional Counselor 101YP2500X P2111004 AR Primary

Addresses

Primary practice location

2503 Pine St Ste 4
Arkadelphia, AR 71923-4368

Mailing address

PO Box 1271
Arkadelphia, AR 71923-1271
Phone (214) 284-5220

Other names 1

  • Ashle L Hunter Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240702003582 TX Practitioner - Mental Health Counselor 3971047853 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A1804037ARMDMental Health Counselor
P2111004ARMDMental Health Counselor
92419TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Mental Health CurrentSince May 21, 2024 Accepting new patients
Inspired Success LLC Mental Health CurrentSince Oct 15, 2023 Accepting new patients
Experience Counseling Clinic, Inc. Past Accepting new patients
Optum Behavioral Care of North Carolina, P.C. PastSince Dec 21, 2025 Accepting new patients

Locations

2503 Pine St
Ste 4
Arkadelphia, AR 71923
Phone (870) 403-4878

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

Organizations & group practices 4

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": "1404345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749168000000",
    "number": "1164838660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1271",
            "city": "ARKADELPHIA",
            "state": "AR",
            "postal_code": "719231271",
            "telephone_number": "214-284-5220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2503 PINE ST STE 4",
            "city": "ARKADELPHIA",
            "state": "AR",
            "postal_code": "719234368",
            "telephone_number": "940-641-6768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVINE",
        "first_name": "ASHLEY",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-03",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "A1804037",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "92419",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "P2111004",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P2111004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLE",
            "last_name": "HUNTER",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Arkadelphia, AR

Sources for this page

Verify at the official NPI Registry.