Ashton Sidock

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

93642 Issued in TX

Practice address

4201 W Stan Schlueter Loop Ste F
Killeen, TX 76549-4783

Phone

(254) 987-0405

NPI assigned

Feb 5, 2024

Last updated

May 5, 2024By the provider in NPPES

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Mental Health Counselor

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

US Televero Health PAGroup PAC ID 7911318241, 37 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• US Televero Health PA

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Austin, TX
  • NPI 1992318992
  Medicare reassignment Care Compare group NPD
• Restorative Hope Sanctuary

  • Professional Counselor
  • Killeen, TX
  • NPI 1245743962
  NPD
• Restorative Hope Sanctuary PLLC

  • Counselor
  • Hutto, TX
  • NPI 1861154023
  NPD

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

{
    "created_epoch": "1707091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714867200000",
    "number": "1215790019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2509 NATURAL LN",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765495104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 W STAN SCHLUETER LOOP STE F",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765494783",
            "telephone_number": "254-987-0405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDOCK",
        "first_name": "ASHTON",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "U",
        "enumeration_date": "2024-02-05",
        "last_updated": "2024-05-05",
        "certification_date": "2024-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "93642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Marie Shuck, APRN, FNP-C
• Bineeta Shukla
• Shyra Jones Counseling Services
• Shyra Jones Counseling Services
• Asmat Qayoom Siddiqi
• Edith Marie Sieg-Reed
• Savinien Siewe, PMHNP - BC
• Kindra Silva
• Gamel Lateef Silvera
• Alicia Simmons

• Professional Counselor in Killeen, TX
• Providers in Killeen, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2024; 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.