Active NPI
Ashley White
- Professional Counselor
- Tinley Park, IL
National Provider Identifier
1174934376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 178009389
- Practice address
- 18350 Crossing Dr
Tinley Park, IL 60487-6294 - Phone
- (708) 342-5200
- NPI assigned
- May 11, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 178009389 | IL | Primary |
Addresses
Primary practice location
18350 Crossing Dr
Tinley Park, IL 60487-6294
Mailing address
18350 Crossing Dr
Tinley Park, IL 60487-6294
Phone (708) 342-5200
Other names 1
- Ashley Ciciora
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
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
Practice addresses (Care Compare)
215 Remington Blvd
Suite G
Bolingbrook, IL 60440-3663
Phone (630) 410-9578
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178009389 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fash Counseling Inc. | Current | Accepting new patients |
Locations
215 Remington Blvd
Ste G
Bolingbrook, IL 60440
Phone (630) 410-9578
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.
-
- Mental Health Counselor
- Bolingbrook, IL
- NPI 1346766250
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399766400000",
"number": "1174934376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18350 CROSSING DR",
"city": "TINLEY PARK",
"state": "IL",
"postal_code": "604876294",
"telephone_number": "708-342-5200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18350 CROSSING DR",
"city": "TINLEY PARK",
"state": "IL",
"postal_code": "604876294",
"telephone_number": "708-342-5200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "ASHLEY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-05-11",
"last_updated": "2014-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "178009389",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ASHLEY",
"last_name": "CICIORA",
"credential": "LPC, NCC",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Tinley Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.