Individual provider Active NPI

Ashlee Sitze

  • Professional Counselor
  • Jackson, MO
National Provider Identifier
1346665569
Registry record updated Jun 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2016013002 Issued in MO
Practice address
1413 N Farmington Rd Apt 18
Jackson, MO 63755-9500
Phone
(573) 200-1052
NPI assigned
Feb 25, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2016013002 MO Primary

Addresses

Primary practice location

1413 N Farmington Rd Apt 18
Jackson, MO 63755-9500

Mailing address

1413 N Farmington Rd Apt 18
Jackson, MO 63755-9500
Phone (573) 200-1052

Other practice location 1

21 Municipal Dr
Arnold, MO 63010-1012
Phone (636) 296-6206

Other practice location 2

330 N Gore Ave
Saint Louis, MO 63119-1600
Phone (314) 968-2060

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://secure.simplepractice.com/monarch/clinicians/1024976

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
2016013002MOMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1393286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623974400000",
    "number": "1346665569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1413 N FARMINGTON RD APT 18",
            "city": "JACKSON",
            "state": "MO",
            "postal_code": "637559500",
            "telephone_number": "573-200-1052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1413 N FARMINGTON RD APT 18",
            "city": "JACKSON",
            "state": "MO",
            "postal_code": "637559500",
            "telephone_number": "573-200-1052"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21 Municipal Dr",
            "address_purpose": "LOCATION",
            "city": "Arnold",
            "state": "MO",
            "postal_code": "630101012",
            "country_code": "US",
            "telephone_number": "636-296-6206",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "330 N Gore Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631191600",
            "country_code": "US",
            "telephone_number": "314-968-2060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SITZE",
        "first_name": "ASHLEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-25",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2016013002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://secure.simplepractice.com/monarch/clinicians/1024976",
            "affiliation": "N",
            "address_1": "1413 N Farmington Rd Apt 18",
            "city": "Jackson",
            "state": "MO",
            "country_code": "US",
            "postal_code": "637559500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jackson, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2021; 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.