Ashley Nicole Mesey, LCPC

Key facts

NPI

1336729557

Entity type

Individual (NPI type 1)

Primary specialty

Mental Health Counselor 101YM0800X

License

180.016627 (IL)

Practice address

950 4TH St
Carrollton, IL 62016-1513

Phone

(217) 370-5837

NPI assigned

Apr 12, 2021

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 1, 2025.

{
    "created_epoch": "1618185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1336729557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 S LOCUST ST",
            "city": "CARLINVILLE",
            "state": "IL",
            "postal_code": "626261648",
            "telephone_number": "217-854-3166",
            "fax_number": "217-854-3778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 4TH ST",
            "city": "CARROLLTON",
            "state": "IL",
            "postal_code": "620161513",
            "telephone_number": "217-370-5837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESEY",
        "first_name": "ASHLEY",
        "middle_name": "NICOLE",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-12",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.016627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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