Individual provider Active NPI

Ashley Joanne Reckord, LMHC

  • Mental Health Counselor
  • Lakeland, FL
National Provider Identifier
1316577513
Registry record updated Jan 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH13461 Issued in FL
Practice address
5421 US Highway 98 S
Lakeland, FL 33812
Phone
(863) 701-7373
Fax
(863) 606-1499
NPI assigned
Jan 16, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2020

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 MH13461 FL Primary

Addresses

Primary practice location

5421 US Highway 98 S
Lakeland, FL 33812

Mailing address

1815 Crystal Lake Dr
Lakeland, FL 33801-5979
Phone (863) 709-9392

Other practice location 1

115 K D Revell Rd
Wauchula, FL 33873-2051
Phone (863) 773-2226

Other practice location 2

650 Avenue K NW
Winter Haven, FL 33881-4032
Phone (863) 294-7900

Other practice location 3

100 W College Dr Bldg E
Avon Park, FL 33825-9348
Phone (863) 452-0106

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
MH13461FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Tri County Human Services, Inc. PastSince Oct 13, 2024 Accepting new patients

Organizations & group practices 1

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": "1579132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579132800000",
    "number": "1316577513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 CRYSTAL LAKE DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338015979",
            "telephone_number": "863-709-9392",
            "fax_number": "863-606-1485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5421 US HIGHWAY 98 S",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "33812",
            "telephone_number": "863-701-7373",
            "fax_number": "863-606-1499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 K D Revell Rd",
            "address_purpose": "LOCATION",
            "city": "Wauchula",
            "state": "FL",
            "postal_code": "338732051",
            "country_code": "US",
            "telephone_number": "863-773-2226",
            "fax_number": "863-773-2497",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "650 Avenue K NW",
            "address_purpose": "LOCATION",
            "city": "Winter Haven",
            "state": "FL",
            "postal_code": "338814032",
            "country_code": "US",
            "telephone_number": "863-294-7900",
            "fax_number": "863-291-6321",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 W College Dr Bldg E",
            "address_purpose": "LOCATION",
            "city": "Avon Park",
            "state": "FL",
            "postal_code": "338259348",
            "country_code": "US",
            "telephone_number": "863-452-0106",
            "fax_number": "863-453-0697",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RECKORD",
        "first_name": "ASHLEY",
        "middle_name": "JOANNE",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-16",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH13461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2020; 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.