Individual provider Active NPI

Ashley Kober, LPC

  • Professional Counselor
  • Jonesboro, LA
National Provider Identifier
1326512765
Registry record updated Sep 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
7776 Issued in LA
Practice address
525 Alexander St
Jonesboro, LA 71251-2001
Phone
(318) 259-4676
NPI assigned
Jan 18, 2019
Last updated
Sep 14, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 7776 LA Primary
Case Manager/Care Coordinator 171M00000X NU

Addresses

Primary practice location

525 Alexander St
Jonesboro, LA 71251-2001

Mailing address

3625 Youree Dr
Shreveport, LA 71105-2121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20240117003858 LA Practitioner - Mental Health Counselor 7416309257 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Waits Psychological Services LLCGroup PAC ID 1951717040, 3 clinicians

Practice addresses (Care Compare)

2102 Floyd Park Dr
Suite 4
Ruston, LA 71270-6631
Phone (318) 406-9080

3816 Woodburn St
Ruston, LA 71270-8520

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7776LAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Waits Psychological Services LLC CurrentSince Jan 1, 2024 Accepting new patients
Professional Hospice Care, L.L.C. Past Accepting new patients

Locations

1200 S Farmerville St
Ruston, LA 71270
Phone (318) 251-6103

2102 Floyd Park Dr
Ste 4
Ruston, LA 71270
Phone (318) 406-9080

Organizations & group practices 2

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": "1547769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1326512765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3625 YOUREE DR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711052121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 ALEXANDER ST",
            "city": "JONESBORO",
            "state": "LA",
            "postal_code": "712512001",
            "telephone_number": "318-259-4676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOBER",
        "first_name": "ASHLEY",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-18",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "7776",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, LA

Sources for this page

Verify at the official NPI Registry.