Active NPI
Ashley Grubb
- Mental Health Counselor
- Dayton, OH
National Provider Identifier
1265920656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 600 Wayne Ave
Dayton, OH 45410-1122 - Phone
- (937) 246-2000
- NPI assigned
- May 1, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary | ||
| Case Manager/Care Coordinator | 171M00000X |
Addresses
Primary practice location
600 Wayne Ave
Dayton, OH 45410-1122
Mailing address
600 Wayne Ave
Dayton, OH 45410-1122
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 269960043 | Medicaid | OH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Na |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601424000000",
"number": "1265920656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 WAYNE AVE",
"city": "DAYTON",
"state": "OH",
"postal_code": "454101122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 WAYNE AVE",
"city": "DAYTON",
"state": "OH",
"postal_code": "454101122",
"telephone_number": "937-246-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRUBB",
"first_name": "ASHLEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-01",
"last_updated": "2020-09-30",
"certification_date": "2020-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "269960043",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Na",
"affiliation": "N",
"address_1": "600 Wayne Ave",
"city": "Dayton",
"state": "OH",
"country_code": "US",
"postal_code": "454101122",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.