Ashley L Carr, MA, QMHP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

R7896 Issued in OR

Practice address

1695 Jefferson St
Eugene, OR 97402-4063

Phone

(541) 264-5449

NPI assigned

Jan 22, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Ashley L Berrocal Llerena Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Selah Counseling & Wellness LLC

  • Mental Health Counselor
  • Springfield, OR
  • NPI 1851996524
  NPD (past)

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

{
    "created_epoch": "1516579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700524800000",
    "number": "1215445556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1879 11TH PL",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974772687",
            "telephone_number": "541-501-5207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1695 JEFFERSON ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974024063",
            "telephone_number": "541-264-5449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARR",
        "first_name": "ASHLEY",
        "middle_name": "L",
        "credential": "MA, QMHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-22",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "R7896",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5000767629",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "BERROCAL LLERENA",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jessie Dawn Carpenter
• Kaden Matthew Carpenter
• Livia Carpenter
• Mary Ellen Carpenter, CNM, FNP
• Alia Marie Carr
• Elizabeth Anne Carr, B.A.
• Thomas Kellen Carr, MH INTERN
• Maja Diane Carrel
• Michael Louis Carrizales, PSY.D.
• Barbara Carroll, CRNA

• Mental Health Counselor in Eugene, OR
• Providers in Eugene, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; 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.