Individual provider Active NPI

Ashley Shepard, MS

  • Mental Health Counselor
  • Randolph, VT
National Provider Identifier
1295100048
Registry record updated Jul 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
11 N Main St
Randolph, VT 05060
Phone
(802) 728-4466
NPI assigned
Dec 4, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

11 N Main St
Randolph, VT 05060

Mailing address

9 Hanover St
Suite 2
Lebanon, NH 03766-1312
Phone (603) 448-0126

Other practice location 1

9 Hanover St
Suite 2
Lebanon, NH 03766-1312
Phone (603) 448-0126 ext. 2118

Other identifiers 1

IdentifierTypeStateIssuer
3077550MedicaidNH

Other names 1

  • Ashley Monmaney Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240104001882 VT Practitioner - Mental Health Counselor 2062863947 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Clara Martin Center CurrentSince Jan 1, 2024 Accepting new patients
Clara Martin Center CurrentSince Jan 1, 2024 Accepting new patients
West Central Services, Inc. Past Accepting new patients
West Central Services, Inc Past Accepting new patients

Locations

11 N Main St
Randolph, VT 05060
Phone (802) 223-4156

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1449187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531872000000",
    "number": "1295100048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 HANOVER ST",
            "address_2": "SUITE 2",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037661312",
            "telephone_number": "603-448-0126",
            "fax_number": "603-448-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 N MAIN ST",
            "city": "RANDOLPH",
            "state": "VT",
            "postal_code": "05060",
            "telephone_number": "802-728-4466"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9 Hanover St",
            "address_2": "Suite 2",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "NH",
            "postal_code": "037661312",
            "country_code": "US",
            "telephone_number": "603-448-0126 x2118",
            "fax_number": "603-448-6001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEPARD",
        "first_name": "ASHLEY",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-04",
        "last_updated": "2018-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3077550",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "MONMANEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Randolph, VT

Sources for this page

Verify at the official NPI Registry.