Individual provider Active NPI

Ashley Nicole Simpson, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Summerville, SC
National Provider Identifier
1356190979
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
28579 Issued in SC
Practice address
182 Paddock Way
Summerville, SC 29486-8218
Phone
(843) 640-0812
NPI assigned
May 15, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 28579 SC Primary

Addresses

Primary practice location

182 Paddock Way
Summerville, SC 29486-8218

Mailing address

758 Silver Bluff Rd Unit 5037
Aiken, SC 29803-4018
Phone (803) 598-5488

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240611002085 SC Practitioner - Nurse Practitioner 1153863733 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Charleston Counseling Center PCGroup PAC ID 6204125107, 186 clinicians

Practice addresses (Care Compare)

651 Scholar Way
Suite 101
Summerville, SC 29486-3052
Phone (630) 884-9012

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
River Region Psychiatry Associates LLC CurrentSince May 1, 2024 Accepting new patients
Charleston Counseling Center PC CurrentSince Feb 1, 2025 Accepting new patients
Myrtle Beach Counseling Center PastSince Aug 6, 2019 Accepting new patients

Locations

233 Winton M Blount Loop
Montgomery, AL 36117
Phone (334) 207-3188

4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392

1315 Roberts St
Camden, SC 29020
Phone (803) 432-4311

3600 Forest Dr
Ste 302
Columbia, SC 29204
Phone (803) 699-8887

3445 Ingleside Blvd
Ladson, SC 29456
Phone (843) 797-4200

871 Lowcountry Blvd
Ste 200
Mt Pleasant, SC 29464
Phone (253) 346-0137

651 Scholar Way
Ste 101
Summerville, SC 29486
Phone (630) 884-9012

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.ashleysimpson@149035.advancedmd-direct.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1715731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1356190979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "758 SILVER BLUFF RD UNIT 5037",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298034018",
            "telephone_number": "803-598-5488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 PADDOCK WAY",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294868218",
            "telephone_number": "843-640-0812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "ASHLEY",
        "middle_name": "NICOLE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-15",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SC",
            "license": "28579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerville, SC

Sources for this page

Verify at the official NPI Registry.