Ashley Lauren Mink, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

123859 Issued in CA

Practice address

16 N Marengo Ave Ste 319
Pasadena, CA 91101-1982

Phone

(310) 739-9016

NPI assigned

May 3, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Feb 13, 2024 through Feb 13, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Madley & Mink Psychotherapy Corporation

  • Marriage & Family Therapist
  • Pasadena, CA
  • NPI 1275301889
  NPD Authorized official

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

{
    "created_epoch": "1651536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651536000000",
    "number": "1275278293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4850 GENEVIEVE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900412515",
            "telephone_number": "310-739-9016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 N MARENGO AVE STE 319",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911011982",
            "telephone_number": "310-739-9016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINK",
        "first_name": "ASHLEY",
        "middle_name": "LAUREN",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-03",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "123859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OUT-OF-NETWORK",
            "identifier": "88-2011838",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mindfull Neuropsychology and Psychology
• Mindfulness in Motion Physical Therapy PC
• Mindfulness in Motion Physical Therapy PC
• Barbara E Miner, PSYD
• Mar Minjares, MFC 53586
• Chris L Minnick, M.D.
• Nicole Minor
• Mint Health Solutions, Inc
• Mintwood Pharmacueticals, Inc. (Mintwood Pharmacy)
• Mary A Mioux Berry, DO

• Marriage & Family Therapist in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.