Jacey N Ashley
Individual provider Active NPI Mental Health Counselor · Roseburg, OR
NPI 1174457014 · NPPES record last updated Jul 16, 2026
Key facts
- NPI
- 1174457014
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 548 SE Jackson St
Roseburg, OR 97470-4983 - Phone
- (458) 220-7666
- NPI assigned
- Jun 8, 2026
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | OR | Yes |
Addresses
Primary practice location
548 SE Jackson St
Roseburg, OR 97470-4983
Mailing address
548 SE Jackson St
Roseburg, OR 97470-4983
Phone (458) 220-7666
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All providers in Roseburg, OR · Mental Health Counselor in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.