Individual provider Active NPI

Ashlie West, LPC-S

  • Professional Counselor
  • Hattiesburg, MS
National Provider Identifier
1174073829
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2114 Issued in MS
Practice address
516 W Laurel Ave
Hattiesburg, MS 39401-3503
Phone
(601) 606-0561
Fax
(601) 861-4888
NPI assigned
Oct 6, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Counselor 101Y00000X 2114 MS
Professional Counselor 101YP2500X 2114 MS Primary

Addresses

Primary practice location

516 W Laurel Ave
Hattiesburg, MS 39401-3503

Mailing address

516 W Laurel Ave
Hattiesburg, MS 39401-3503
Phone (601) 606-0561

Other practice location 1

604 Adeline St Ste B
Hattiesburg, MS 39401
Phone (601) 606-0561

Other practice location 2

110 Patton Ave
Hattiesburg, MS 39401-6155
Phone (601) 582-1111

Other identifiers 1

IdentifierTypeStateIssuer
01487756MedicaidMS

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

State licenses

LicenseStateTypeSpecialty
2114MSMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Nool Counseling Center, PLLC Counselor CurrentSince Mar 1, 2021 Accepting new patients

Locations

516 W Laurel Ave
Hattiesburg, MS 39401
Phone (601) 606-0561

604 Adeline St
Ste B
Hattiesburg, MS 39401
Phone (601) 520-6535

Organizations & group practices 1

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": "1475712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1174073829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 W LAUREL AVE",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394013503",
            "telephone_number": "601-606-0561",
            "fax_number": "601-861-4888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 W LAUREL AVE",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394013503",
            "telephone_number": "601-606-0561",
            "fax_number": "601-861-4888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "604 Adeline St Ste B",
            "address_purpose": "LOCATION",
            "city": "Hattiesburg",
            "state": "MS",
            "postal_code": "39401",
            "country_code": "US",
            "telephone_number": "601-606-0561",
            "fax_number": "601-861-4888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "110 Patton Ave",
            "address_purpose": "LOCATION",
            "city": "Hattiesburg",
            "state": "MS",
            "postal_code": "394016155",
            "country_code": "US",
            "telephone_number": "601-582-1111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEST",
        "first_name": "ASHLIE",
        "credential": "LPC-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-06",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MS",
            "license": "2114",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "2114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01487756",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hattiesburg, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; 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.