Individual provider Active NPI

Ashley Toulson, CRNP-PMH

  • Psychiatric/Mental Health Nurse Practitioner
  • Salisbury, MD
National Provider Identifier
1194591396
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R242110 Issued in MD
Practice address
1411 Wesley Dr
Salisbury, MD 21801-7149
Phone
(410) 642-4011
NPI assigned
Nov 29, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R242110 MD Primary

Addresses

Primary practice location

1411 Wesley Dr
Salisbury, MD 21801-7149

Mailing address

156 Nottingham LN
Berlin, MD 21811-1663
Phone (410) 490-7664

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240102002331 MD Practitioner - Nurse Practitioner 6507216660 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lighthouse Counseling Christian Ministry, LLCGroup PAC ID 1456615079, 11 clinicians

Practice addresses (Care Compare)

314 Franklin Ave
Suite 403
Berlin, MD 21811-1263
Phone (410) 973-2211

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Evolve Mental Wellness CurrentSince Dec 1, 2023 Accepting new patients
Lighthouse Counseling Christian Ministry, LLC CurrentSince Jul 1, 2024 Accepting new patients

Locations

314 Franklin Ave
Ste 403
Berlin, MD 21811
Phone (410) 629-1995

1411 Wesley Dr
Salisbury, MD 21801
Phone (410) 642-4011

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1701216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1194591396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 NOTTINGHAM LN",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218111663",
            "telephone_number": "410-490-7664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 WESLEY DR",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218017149",
            "telephone_number": "410-642-4011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOULSON",
        "first_name": "ASHLEY",
        "credential": "CRNP-PMH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-29",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R242110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

Verify at the official NPI Registry.