Active NPI
Ashley Groves, BA
- Mental Health Counselor
- Mount Carmel, IL
National Provider Identifier
1184043689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 602 E 5TH St
Mount Carmel, IL 62863-2152 - Phone
- (618) 262-7473
- Fax
- (618) 262-8810
- NPI assigned
- Apr 11, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
602 E 5TH St
Mount Carmel, IL 62863-2152
Mailing address
504 Micah Dr
Drawer M
Olney, IL 62450-4720
Phone (618) 395-4306
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
- Credentials
- Bachelor of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397174400000",
"number": "1184043689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "504 MICAH DR",
"address_2": "DRAWER M",
"city": "OLNEY",
"state": "IL",
"postal_code": "624504720",
"telephone_number": "618-395-4306",
"fax_number": "618-395-4507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "602 E 5TH ST",
"city": "MOUNT CARMEL",
"state": "IL",
"postal_code": "628632152",
"telephone_number": "618-262-7473",
"fax_number": "618-262-8810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROVES",
"first_name": "ASHLEY",
"name_prefix": "Miss",
"credential": "BA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-11",
"last_updated": "2014-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Carmel, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.