Individual provider Active NPI

Deborah Ashway, MS, LCMHC, LCAS

  • Mental Health Counselor
  • New Bern, NC
National Provider Identifier
1194134619
Registry record updated Jun 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
11054 Issued in NC
Practice address
790 Cardinal Rd
New Bern, NC 28562-5202
Phone
(252) 658-0565
Fax
(252) 634-9332
NPI assigned
Aug 8, 2014
Last updated
Jun 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LCAS-20787 NC
Mental Health Counselor 101YM0800X 11054 NC Primary

Addresses

Primary practice location

790 Cardinal Rd
New Bern, NC 28562-5202

Mailing address

261 Goose Creek Rd
New Bern, NC 28562-3667
Phone (252) 658-0565

Other practice location 1

2314 Wild Turkey Rd
New Bern, NC 28562-9187
Phone (252) 658-0565

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20240410001883 NC Practitioner - Mental Health Counselor 1355789256 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Inner Source Therapy PLLCGroup PAC ID 1153771787, 4 clinicians

Practice addresses (Care Compare)

2407 Grace Ave
New Bern, NC 28562-4416
Phone (252) 514-7766

3402 Trent Rd
New Bern, NC 28562-2232
Phone (252) 571-6508

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LCAS-20787NCMDAddiction (Substance Use Disorder) Counselor
11054NCMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Inner Source Therapy, PLLC Mental Health CurrentSince Nov 7, 2023 Accepting new patients
A Fresh Start Behavioral Health Services, PLLC Past Accepting new patients

Locations

3402 Trent Rd
New Bern, NC 28562
Phone (252) 571-6508

790 Cardinal Rd
New Bern, NC 28562
Phone (252) 259-5419

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1407456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623801600000",
    "number": "1194134619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 GOOSE CREEK RD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285623667",
            "telephone_number": "252-658-0565",
            "fax_number": "252-634-9332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 CARDINAL RD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285625202",
            "telephone_number": "252-658-0565",
            "fax_number": "252-634-9332"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2314 Wild Turkey Rd",
            "address_purpose": "LOCATION",
            "city": "New Bern",
            "state": "NC",
            "postal_code": "285629187",
            "country_code": "US",
            "telephone_number": "252-658-0565",
            "fax_number": "252-634-9332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ASHWAY",
        "first_name": "DEBORAH",
        "credential": "MS, LCMHC, LCAS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-08",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-20787",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "11054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bern, NC

Sources for this page

Verify at the official NPI Registry.