Individual provider Active NPI

Ashanti Marshall

  • Counselor
  • San Diego, CA
National Provider Identifier
1255701298
Registry record updated Nov 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
3179 Issued in CA
Practice address
591 Camino de la Reina Ste 210
San Diego, CA 92108-3104
Phone
(619) 206-5271
NPI assigned
Oct 2, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 3179 CA
Counselor 101Y00000X 3179 CA Primary

Addresses

Primary practice location

591 Camino de la Reina Ste 210
San Diego, CA 92108-3104

Mailing address

6160 Mission Gorge Rd
Suite 108
San Diego, CA 92120-3410
Phone (619) 481-5200

Other practice location 1

7986 Dagget St
San Diego, CA 92111-2321
Phone (858) 300-0460

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20240531002915 CA Practitioner - Mental Health Counselor 9335581610 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmind Online Ca Licensed Clinical Social Worker Prof Corp CurrentSince Oct 1, 2025 Accepting new patients
The Khachatryan Corporation, Licensed Professional Clinical Counselor Counselor CurrentSince Nov 22, 2020 Accepting new patients
Grow Healthcare Group PC Mental Health CurrentSince Apr 24, 2024 Accepting new patients
Pathways Community Services LLC Past Accepting new patients
Pathways Community Services LLC Past Accepting new patients

Locations

16501 Ventura Blvd
Encino, CA 91436
Phone (818) 356-8106

888 Prospect St
La Jolla, CA 92037
Phone (619) 804-0609

2100 Geng Rd
Ste 210
Palo Alto, CA 94303
Phone (650) 383-0279

980 9th St
Sacramento, CA 95814

591 Camino de la Reina
Ste 210
San Diego, CA 92108
Phone (619) 206-5271

95 3rd St
San Francisco, CA 94103
Phone (414) 640-9090

99 Almaden Blvd
San Jose, CA 95113
Phone (707) 641-6006

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

2450 Colorado Ave
Santa Monica, CA 90404

3558 Round Barn Blvd
Santa Rosa, CA 95403
Phone (707) 571-3754

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

Organizations & group practices 5

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": "1443744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1255701298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6160 MISSION GORGE RD",
            "address_2": "SUITE 108",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921203410",
            "telephone_number": "619-481-5200",
            "fax_number": "619-481-5217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "591 CAMINO DE LA REINA STE 210",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083104",
            "telephone_number": "619-206-5271"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7986 Dagget St",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921112321",
            "country_code": "US",
            "telephone_number": "858-300-0460",
            "fax_number": "858-300-0461",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "ASHANTI",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-02",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "3179",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": "3179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.