Ashley Lynn Stielow, LPCC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

00234

Practice address

112 University Dr N Ste 300
Fargo, ND 58102-4661

Phone

(701) 866-7960

NPI assigned

Dec 14, 2010

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 15, 2024 through Jan 15, 2028

Medicare enrollment (NPD)

Not enrolled

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.

• Inner Canvas Counseling, PLLC

  • Counselor
  • Fargo, ND
  • NPI 1174011126
  Authorized official Same address or phone

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

{
    "created_epoch": "1292284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524700800000",
    "number": "1306149323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 UNIVERSITY DR N STE 300",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581024661",
            "telephone_number": "701-866-7960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 UNIVERSITY DR N STE 300",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581024661",
            "telephone_number": "701-866-7960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STIELOW",
        "first_name": "ASHLEY",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-14",
        "last_updated": "2018-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": "00234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna L Stibral, DNP, APRN, CNP
• Justin Stich
• Sherrey L Stich, SLP
• Tracy Stickel
• Tara Stickler, RN
• Roberta Stigen, NURSE PRACTITIONER
• Sarah Lynne Stigen, LMFT
• Chelsea Stika
• Kayla Dawn Stiles
• Joshua Michael Still, PT, DPT

• Counselor in Fargo, ND
• Providers in Fargo, ND by specialty
• Counselor in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2018; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.