Active NPI
Ashley Picknelly Vassallo, LCSW
- Mental Health Counselor
- Suffield, CT
National Provider Identifier
1346949682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 16468
- Practice address
- 880 Burbank Ave
Suffield, CT 06078-1459 - Phone
- (413) 530-7038
- NPI assigned
- Feb 27, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 16468 | CT | Primary |
Addresses
Primary practice location
880 Burbank Ave
Suffield, CT 06078-1459
Mailing address
14 Lise Cir
Suffield, CT 06078-1381
Phone (413) 530-7038
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
| License | State | Type | Specialty |
|---|---|---|---|
| 16468 | CT | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780012800000",
"number": "1346949682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 LISE CIR",
"city": "SUFFIELD",
"state": "CT",
"postal_code": "060781381",
"telephone_number": "413-530-7038",
"fax_number": "866-256-1692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "880 BURBANK AVE",
"city": "SUFFIELD",
"state": "CT",
"postal_code": "060781459",
"telephone_number": "413-530-7038"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VASSALLO",
"first_name": "ASHLEY",
"middle_name": "PICKNELLY",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-02-27",
"last_updated": "2026-05-29",
"certification_date": "2026-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CT",
"license": "16468",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Suffield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.