Individual provider Active NPI

Ashley N. Weber

  • Addiction (Substance Use Disorder) Counselor
  • Milford, OH
National Provider Identifier
1205342573
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
LICDC.161824 Issued in OH
Practice address
25 Whitney Dr Ste 122
Milford, OH 45150-8400
Phone
(513) 941-4999
Fax
(513) 694-0168
NPI assigned
Dec 21, 2017
Last updated
Oct 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LICDC.161824 OH Primary
Mental Health Counselor 101YM0800X C.1600020-TRNE OH
Professional Counselor 101YP2500X C.1700503 OH
Professional Counselor 101YP2500X E.2102411-SUPV OH

Addresses

Primary practice location

25 Whitney Dr Ste 122
Milford, OH 45150-8400

Mailing address

6460 Harrison Ave Ste 200
Cincinnati, OH 45247-7958
Phone (513) 941-4999

Other identifiers 1

IdentifierTypeStateIssuer
0386264MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LICDC.161824OHMDAddiction (Substance Use Disorder) Counselor
C.1600020-TRNEOHMDMental Health Counselor
C.1700503OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mindfully, LLC Addiction (Substance Use Disorder) CurrentSince Jan 29, 2024 Accepting new patients
Mindfully, LLC Addiction (Substance Use Disorder) CurrentSince Jan 29, 2024 Accepting new patients
L&J Healthcare, LLC PastSince Feb 1, 2019 Accepting new patients
L&J Healthcare Dba Adams Recovery Center, LLC Past Accepting new patients

Locations

463 Ohio Pike
Ste 102B
Cincinnati, OH 45255
Phone (888) 262-3616

1251 Nilles Rd
Ste 5
Fairfield, OH 45014
Phone (732) 993-4599

Organizations & group practices 4

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": "1513814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1205342573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6460 HARRISON AVE STE 200",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452477958",
            "telephone_number": "513-941-4999",
            "fax_number": "513-694-0168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 WHITNEY DR STE 122",
            "city": "MILFORD",
            "state": "OH",
            "postal_code": "451508400",
            "telephone_number": "513-941-4999",
            "fax_number": "513-694-0168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBER",
        "first_name": "ASHLEY",
        "middle_name": "N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-21",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LICDC.161824",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.1600020-TRNE",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C.1700503",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.2102411-SUPV",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0386264",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, OH

Sources for this page

Verify at the official NPI Registry.