Ashley M Blanc, MA

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1241 Issued in WV

Practice address

606 Washington St
Ravenswood, WV 26164

Phone

(304) 273-1033

Fax

(304) 273-1034

NPI assigned

Jul 6, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Ashley M Bledsoe Former name

Medicare fee-for-service enrollment

Enrolled in WV

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

Specialty

Clinical Psychologist

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wirt County Health Services Association, IncGroup PAC ID 7810806577, shared by 11 NPIs, 31 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Wirt County Health Services Association Inc

  • Federally Qualified Health Center (FQHC)
  • Ripley, WV
  • NPI 1043401730
  Medicare reassignment NPD
• Wirt County Health Services Association Inc

  • Federally Qualified Health Center (FQHC)
  • Parkersburg, WV
  • NPI 1548777527
  Medicare reassignment NPD
• Wirt County Health Services Association, Inc

  • Federally Qualified Health Center (FQHC)
  • Ripley, WV
  • NPI 1265615728
  Medicare reassignment NPD
• Wirt County Health Services Association, Inc

  • Federally Qualified Health Center (FQHC)
  • Parkersburg, WV
  • NPI 1750868675
  Medicare reassignment NPD
• Wirt County Health Services Association, Inc

  • Federally Qualified Health Center (FQHC)
  • Parkersburg, WV
  • NPI 1760733984
  Medicare reassignment NPD
• Wirt County Health Services Association Inc

  • Federally Qualified Health Center (FQHC)
  • Parkersburg, WV
  • NPI 1497484091
  NPD
• Wirt County Health Services Association, Inc

  • Federally Qualified Health Center (FQHC)
  • Ravenswood, WV
  • NPI 1356403703
  NPD
• Wirt County Health Services Association, Inc

  • Federally Qualified Health Center (FQHC)
  • Elizabeth, WV
  • NPI 1518191923
  NPD
• Wirt County Health Services Association, Inc

  • Federally Qualified Health Center (FQHC)
  • Elizabeth, WV
  • NPI 1538179411
  NPD

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

{
    "created_epoch": "1467763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1356793095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 609",
            "city": "ELIZABETH",
            "state": "WV",
            "postal_code": "261430609",
            "telephone_number": "304-275-3301",
            "fax_number": "304-275-4798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 WASHINGTON ST",
            "city": "RAVENSWOOD",
            "state": "WV",
            "postal_code": "26164",
            "telephone_number": "304-273-1033",
            "fax_number": "304-273-1034"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Washington Ave",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Logan",
            "state": "WV",
            "postal_code": "256013900",
            "country_code": "US",
            "telephone_number": "304-792-9472",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLANC",
        "first_name": "ASHLEY",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-06",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WV",
            "license": "1241",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WV",
            "license": "1241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1356793095",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "BLEDSOE",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kristen Bergdorf
• Megan Danielle Bergum, DEM
• Sarah Black, OTR
• Richard Jay Blackburn, DO
• Julie Blair
• Murrita C. Bolinger, CFNP
• Rachel Leigh Ann Bourgeois
• Gina Bourque
• Patricia Boyce
• Laura Braden

• Clinical Psychologist in Ravenswood, WV
• Providers in Ravenswood, WV by specialty
• Clinical Psychologist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.