Ashely Whitaker, LCDC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

15129 Issued in TX

Practice address

12613 Seattle Slew Dr Apt 3304
Jersey Village, TX 77065-5529

Phone

(214) 223-0899

NPI assigned

Sep 8, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ashely Johnson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Symetria Health of Texas, L.L.C.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Lewisville, TX
  • NPI 1528527603
  NPD (past)
• Symetria Health of Texas, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Hurst, TX
  • NPI 1033678255
  NPD (past)
• Symetria Health of Texas, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Fort Worth, TX
  • NPI 1063971232
  NPD (past)
• Symetria Health of Texas, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • College Station, TX
  • NPI 1235644709
  NPD (past)
• Symetria Health of Texas, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Spring, TX
  • NPI 1295234540
  NPD (past)
• Symetria Health of Texas, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Jersey Village, TX
  • NPI 1851896120
  NPD (past)

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

{
    "created_epoch": "1662595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662595200000",
    "number": "1225759020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12613 SEATTLE SLEW DR APT 3304",
            "city": "JERSEY VILLAGE",
            "state": "TX",
            "postal_code": "770655529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12613 SEATTLE SLEW DR APT 3304",
            "city": "JERSEY VILLAGE",
            "state": "TX",
            "postal_code": "770655529",
            "telephone_number": "214-223-0899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITAKER",
        "first_name": "ASHELY",
        "credential": "LCDC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-08",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "15129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHELY",
            "last_name": "JOHNSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Thanh-Nha Thi Vo, DDS
• Emily Stone Vocke, PT, DPT
• Lakeira Washam
• Aaron G Wesp, MD
• Westpark Springs, LLC
• Sarah White
• Jennifer Withner, CCC-SLP
• Wood Dialysis LLC
• Alison P Worton, PT
• Xzanthia Yvonne Wright

• Addiction (Substance Use Disorder) Counselor in Jersey Village, TX
• Providers in Jersey Village, TX by specialty
• Addiction (Substance Use Disorder) Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.