Active NPI
Ashley E. Thompson, LPCC
- Counselor
- Breckenridge, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 1784
- 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, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, ND
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Institute, PC | Current | Accepting new patients | |
| Solutions Counseling Services, Inc. | Current | Accepting new patients | |
| Red Door Pediatric Therapy, Inc | Past | 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.
-
dba Birchwood Therapeutic Services
- Professional Counselor
- Breckenridge, MN
- NPI 1578614038
ND
-
- Clinical Psychologist
- Grand Forks, ND
- NPI 1003832783
-
dba Red Door Pediatric Therapy
- Speech-Language Pathologist
- Bismarck, ND
- NPI 1639257033
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
- St. Francis Medical Center (St. Francis Healthcare Campus)
- St. Francis Medical Center
- St. Francis Medical Center (St. Francis Home Health)
- Corey Stump, CRNA
- Violetta Marie Syvertson, MA, LPC
- Pamela Jean Thompson, LICSW
- Thrifty Drug Stores, Inc. (Thrifty White Pharmacy #781)
- Tischer Therapeutic Services
- Tischer Therapeutic Services Substance Abuse Treatment Program
- Nancy Ellen Torson, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.