Individual provider Active NPI

Ashley Y Vande Slunt

  • Marriage & Family Therapist
  • Clackamas, OR
National Provider Identifier
1215410147
Registry record updated Sep 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
12901 SE 97TH Ave Ste 340
Clackamas, OR 97015-7903
Phone
(503) 655-8045
Fax
(503) 655-6806
NPI assigned
Sep 6, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

12901 SE 97TH Ave Ste 340
Clackamas, OR 97015-7903

Mailing address

12901 SE 97TH Ave Ste 340
Clackamas, OR 97015-7903
Phone (503) 655-8045

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

Practice roles

OrganizationSpecialtyStatusNew patients
Options Counseling Services of Oregon Mental Health CurrentSince Mar 25, 2016 Accepting new patients
Hidden Trails Therapy LLC Mental Health Current Accepting new patients

Locations

12901 SE 97th Ave
Ste 340
Clackamas, OR 97015
Phone (503) 655-6806

11010 SE Division St
Ste 202
Portland, OR 97266
Phone (503) 335-5975

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": "1536192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1215410147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12901 SE 97TH AVE STE 340",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970157903",
            "telephone_number": "503-655-8045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12901 SE 97TH AVE STE 340",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970157903",
            "telephone_number": "503-655-8045",
            "fax_number": "503-655-6806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDE SLUNT",
        "first_name": "ASHLEY",
        "middle_name": "Y",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-06",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clackamas, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.