Individual provider Active NPI

Ashley Pearl Walters, LPC, ATR-BC

  • Professional Counselor
  • Ambler, PA
National Provider Identifier
1174215917
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC015728 Issued in PA
Practice address
156 S Bethlehem Pike
Ambler, PA 19002-5821
Phone
(215) 834-0871
NPI assigned
May 22, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC015728 PA Primary

Addresses

Primary practice location

156 S Bethlehem Pike
Ambler, PA 19002-5821

Mailing address

156 S Bethlehem Pike
Ambler, PA 19002-5821
Phone (215) 767-7096

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20250618000460 PA Practitioner - Mental Health Counselor 0840701686 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

156 S Bethlehem Pike
Ambler, PA 19002-5821

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of Connecticut, P.C. Current Accepting new patients
Optum Behavioral Care of Connecticut, P.C. CurrentSince Apr 10, 2025 Accepting new patients
Optum Behavioral Care of Connecticut, P.C. CurrentSince Apr 10, 2025 Accepting new patients
Psychological Healthcare, PLLC Professional Past Accepting new patients

Locations

156 S Bethlehem Pike
Ambler, PA 19002
Phone (215) 767-7096

7 Neshaminy Interplex Dr
Trevose, PA 19053

Interoperability endpoints

  • Direct secure messaging: ashley.walters.1@28623.direct.athenahealth.com

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": "1684713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1174215917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 S BETHLEHEM PIKE",
            "city": "AMBLER",
            "state": "PA",
            "postal_code": "190025821",
            "telephone_number": "215-767-7096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 S BETHLEHEM PIKE",
            "city": "AMBLER",
            "state": "PA",
            "postal_code": "190025821",
            "telephone_number": "215-834-0871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "ASHLEY",
        "middle_name": "PEARL",
        "credential": "LPC,  ATR-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-22",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC015728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ambler, PA

Sources for this page

Verify at the official NPI Registry.