Ashley A Hargis, LPCC
Individual provider Active NPI Professional Counselor · Lebanon, KY
NPI 1245765676 · NPPES record last updated Feb 1, 2022
Key facts
- NPI
- 1245765676
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 275076 (KY)
- Practice address
- 3345 Highway 208
Lebanon, KY 40033-9487 - Phone
- (844) 435-0900
- Fax
- (270) 858-4029
- NPI assigned
- Apr 24, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240129003148 | KY | Practitioner - Mental Health Counselor | 7911350756 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cumberland Family Medical Center Inc | Current |
Accepting new patients | |
| Cumberland Family Medical Center Inc | Current |
Accepting new patients |
Locations
360 Keen St
Burkesville, KY 42717
Phone (270) 864-1472
200 Corporate Dr
Lebanon, KY 40033
Phone (270) 692-3441
311 W High St
Lebanon, KY 40033
Phone (270) 593-5811
735 E Main St
Lebanon, KY 40033
Phone (270) 692-6066
3345 Highway 208
Lebanon, KY 40033
Phone (270) 692-3676
1155 Highway 327
Lebanon, KY 40033
Phone (270) 692-4578
420 W Main St
Lebanon, KY 40033
Phone (270) 692-3883
773 E Main St
Lebanon, KY 40033
Phone (270) 692-3223
8175 N Loretto Rd
Loretto, KY 40037
Phone (270) 699-4320
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Professional Counselor | 101YP2500X | 275076 | KY | Yes |
Addresses
Primary practice location
3345 Highway 208
Lebanon, KY 40033-9487
Mailing address
PO Box 1080
Burkesville, KY 42717-1080
Phone (270) 858-6655
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100791710 | Medicaid | KY |
Other providers in Lebanon, KY
- Steven B Grover
- Rodney J Hadley
- Kim Hagan
- Natalie Marie Hale
- Dana Hamilton
- Lisa Harmon
- Alesha Nicole Harris
- Sara Ashley Hart
- Whitney Dawn Haws
- Twana D Hayes
All providers in Lebanon, KY · Professional Counselor in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 1, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.