Individual provider Active NPI

Ashley E. Thompson, LPCC

  • Counselor
  • Breckenridge, MN
National Provider Identifier
1285009159
Registry record updated Dec 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
1784 Issued in MN
Practice address
115 5TH St N
Breckenridge, MN 56520-1434
Phone
(218) 643-9330
Fax
(218) 641-1001
NPI assigned
Dec 3, 2015
Last updated
Dec 18, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 1784 MN Primary

Addresses

Primary practice location

115 5TH St N
Breckenridge, MN 56520-1434

Mailing address

115 5TH St N
Breckenridge, MN 56520-1434
Phone (218) 643-9330

Other names 1

  • Ashley E. Willits Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, ND2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240508002279 MN Practitioner - Mental Health Counselor 8325370182 Reassigns benefits to 1 organization
I20240909002152 ND Practitioner - Mental Health Counselor 8325370182 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Solutions Counseling Services IncGroup PAC ID 7416289277, 8 clinicians

Practice addresses (Care Compare)

115 5TH St N
Breckenridge, MN 56520-1434
Phone (218) 643-9330

3369 39TH St S
Suite 2
Fargo, ND 58104-7542
Phone (701) 532-1553

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Institute, PC CurrentSince Jul 20, 2024 Accepting new patients
Solutions Counseling Services, Inc. CurrentSince Jun 1, 2019 Accepting new patients
Red Door Pediatric Therapy, Inc PastSince Dec 13, 2024 Accepting new patients

Locations

115 5th St N
Breckenridge, MN 56520
Phone (218) 643-9330

415 Nebraska Ave
Breckenridge, MN 56520
Phone (218) 643-9330

3369 39th St S
Ste 2
Fargo, ND 58104
Phone (701) 367-4271

4955 17th Ave S
Ste 122
Fargo, ND 58103
Phone (701) 532-1353

2810 19th Ave S
Grand Forks, ND 58201
Phone (701) 222-3175

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1449100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576627200000",
    "number": "1285009159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 5TH ST N",
            "city": "BRECKENRIDGE",
            "state": "MN",
            "postal_code": "565201434",
            "telephone_number": "218-643-9330",
            "fax_number": "218-641-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 5TH ST N",
            "city": "BRECKENRIDGE",
            "state": "MN",
            "postal_code": "565201434",
            "telephone_number": "218-643-9330",
            "fax_number": "218-641-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "ASHLEY",
        "middle_name": "E.",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-03",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MN",
            "license": "1784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "WILLITS",
            "middle_name": "E.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Breckenridge, MN

Sources for this page

Verify at the official NPI Registry.