Holly Aschoff, LMSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

087867 Issued in NY

Practice address

17 Sussex St
Port Jervis, NY 12771-2430

Phone

(845) 856-6344

NPI assigned

Jun 12, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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

Specialty

Clinical Social Worker

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Lakeside Counseling Associates, LLCGroup PAC ID 0840568754, 26 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Lakeside Counseling Associates, LLC

  • Professional Counselor
  • Sparta, NJ
  • NPI 1578010674

  Mental Health

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1434067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434067200000",
    "number": "1205217544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 SAWKILL RD",
            "city": "MILFORD",
            "state": "PA",
            "postal_code": "183377103",
            "telephone_number": "570-220-8743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 SUSSEX ST",
            "city": "PORT JERVIS",
            "state": "NY",
            "postal_code": "127712430",
            "telephone_number": "845-856-6344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASCHOFF",
        "first_name": "HOLLY",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-12",
        "last_updated": "2015-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "087867",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "44SL05796600",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "PA",
            "license": "SW129813",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Moinuddin Ahmed, MD
• Ann M Akers, MDIV, LP
• Alitons Managed Care Pharmacy Inc
• Michele Amundson, FNP
• Gabrielle Andzel
• Rebecca L Aschoff, RN
• Althea Atkinson, RN
• Kristin E Banse, PT
• Hillary Bastone, PT
• Phillip Whayne Bennett, LCSW

• Mental Health Counselor in Port Jervis, NY
• Providers in Port Jervis, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2015; 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.

Verify at the official NPI Registry.