Individual provider Active NPI

Ashton Briana Smith

  • Mental Health Counselor
  • Daphne, AL
National Provider Identifier
1306676499
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
ALC04967 Issued in AL
Practice address
28119 N Main St Ste D
Daphne, AL 36526-7090
Phone
(251) 447-3501
NPI assigned
Aug 5, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X IMH26251 FL
Mental Health Counselor 101YM0800X ALC04967 AL Primary

Addresses

Primary practice location

28119 N Main St Ste D
Daphne, AL 36526-7090

Mailing address

104 Bernard Cir
Daphne, AL 36526-7641
Phone (251) 447-3501

Other practice location 1

9999 Chemstrand Rd
Pensacola, FL 32514-2724
Phone (251) 447-3501

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
ALC04967ALMDMental Health Counselor
IMH26251FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1722816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1306676499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 BERNARD CIR",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365267641",
            "telephone_number": "251-447-3501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28119 N MAIN ST STE D",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365267090",
            "telephone_number": "251-447-3501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9999 Chemstrand Rd",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325142724",
            "country_code": "US",
            "telephone_number": "251-447-3501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ASHTON",
        "middle_name": "BRIANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-05",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH26251",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "ALC04967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daphne, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.