Individual provider Active NPI

Ashley Baldwin, LPC, CAC II

  • Counselor
  • Colorado Springs, CO
National Provider Identifier
1235417890
Registry record updated Nov 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
11695 Issued in CO
Practice address
7610 N Union Blvd Ste 145
Colorado Springs, CO 80920-3894
Phone
(719) 344-2209
Fax
(877) 343-0485
NPI assigned
Aug 1, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X ACB-7403 CO
Counselor 101Y00000X 11695 CO Primary

Addresses

Primary practice location

7610 N Union Blvd Ste 145
Colorado Springs, CO 80920-3894

Mailing address

7610 N Union Blvd Ste 145
Colorado Springs, CO 80920-3894
Phone (719) 344-2209

Other identifiers 1

IdentifierTypeStateIssuer
9000141464MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 14, 2024 through Feb 14, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
11695COMDCounselor
ACB-7403COMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1312156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638230400000",
    "number": "1235417890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7610 N UNION BLVD STE 145",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809203894",
            "telephone_number": "719-344-2209",
            "fax_number": "877-343-0485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7610 N UNION BLVD STE 145",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809203894",
            "telephone_number": "719-344-2209",
            "fax_number": "877-343-0485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDWIN",
        "first_name": "ASHLEY",
        "name_prefix": "Mrs.",
        "credential": "LPC, CAC II",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-01",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACB-7403",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CO",
            "license": "11695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000141464",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.