Individual provider Active NPI

Ashlynn Kaye Pinney, LCPC

  • Professional Counselor
  • Troy, IL
National Provider Identifier
1245859693
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.015846 Issued in IL
Practice address
1008 Troy Ofallon Rd
Troy, IL 62294-2400
Phone
(618) 972-1568
Fax
(618) 205-3561
NPI assigned
Apr 15, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X 178.017186 IL
Professional Counselor 101YP2500X 180.015846 IL Primary

Addresses

Primary practice location

1008 Troy Ofallon Rd
Troy, IL 62294-2400

Mailing address

3 Oak Dr Ste B
Maryville, IL 62062-5635
Phone (618) 972-1568

Other practice location 1

3 Oak Dr Ste B
Maryville, IL 62062-5635
Phone (618) 972-1568

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
178.017186ILMDProfessional Counselor
180.015846ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Counselors Associates Professional CurrentSince Jan 19, 2025 Accepting new patients
Moultrie County Mental Health Center Mental Health PastSince Apr 1, 2020 Accepting new patients
New Leaf Counseling Services, LLC PastSince Aug 1, 2021 Accepting new patients

Locations

3 Oak Dr
#B
Maryville, IL 62062
Phone (618) 972-1568

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1586908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1245859693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 OAK DR STE B",
            "city": "MARYVILLE",
            "state": "IL",
            "postal_code": "620625635",
            "telephone_number": "618-972-1568",
            "fax_number": "618-205-3561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 TROY OFALLON RD",
            "city": "TROY",
            "state": "IL",
            "postal_code": "622942400",
            "telephone_number": "618-972-1568",
            "fax_number": "618-205-3561"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Oak Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Maryville",
            "state": "IL",
            "postal_code": "620625635",
            "country_code": "US",
            "telephone_number": "618-972-1568",
            "fax_number": "618-205-3561",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PINNEY",
        "first_name": "ASHLYNN",
        "middle_name": "KAYE",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-15",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.017186",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.015846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; 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.