Ashley Freece, LPC

Individual provider Active NPI Mental Health Counselor · Texarkana, AR

NPI 1275918625 · NPPES record last updated Jul 7, 2022

Key facts

NPI
1275918625
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
P1712387 (AR)
Practice address
4077 Jefferson Ave
Texarkana, AR 71854-1509
Phone
(870) 330-9200
Fax
(870) 330-9439
NPI assigned
Jul 28, 2015
Sex
Female
Sole proprietor
Yes

Organizations & group practices 11

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.

Medicare Care Compare profile

Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Texas Border Health Clinic (55 clinicians)

Practice addresses (Care Compare)

4077 Jefferson Ave
Texarkana, AR 71854-1509
Phone (870) 330-9200

Medicare participation

Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20240115000698 AR Practitioner - Mental Health Counselor 3173975224 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
East Texas Border Health Clinic Current
since Jan 1, 2024
Accepting new patients
East Texas Border Health Clinic Current Accepting new patients
East Texas Border Health Clinic Current
since Jan 1, 2024
Accepting new patients

Locations

4077 Jefferson Ave
Texarkana, AR 71854
Phone (870) 330-9200

1205 E 35th St
Texarkana, AR 71854
Phone (870) 216-0080

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X P1712387 AR Yes

Addresses

Primary practice location

4077 Jefferson Ave
Texarkana, AR 71854-1509

Mailing address

PO Box 1326
Marshall, TX 75671-1326
Phone (903) 927-3782

Other providers in Texarkana, AR

All providers in Texarkana, AR · Mental Health Counselor in Arkansas

Sources for this page

Verify at the official NPI Registry.