Active NPI
Roslyn Ashford Wellness, Inc.
- Mental Health Counselor
- Laurel, MS
National Provider Identifier
1366064669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- ROSLYN ASHFORD WELLNESS, INC.
- Practice address
- 409 W Oak St Ste 401D
Laurel, MS 39440-4169 - Phone
- (601) 228-1144
- NPI assigned
- May 11, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Roslyn L Ashford, LPC
- Title
- Owner
- Phone
- (601) 307-3917
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
409 W Oak St Ste 401D
Laurel, MS 39440-4169
Mailing address
54 Mattie Dr
Ellisville, MS 39437-5147
Phone (601) 307-3917
Other names 1
- Nu Leaf Therapy
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://nuleaftherapy.secure-client-area.com/portal/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
409 W Oak St
Ste 401D
Laurel, MS 39440
Phone (601) 228-1144
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Laurel, MS
- NPI 1457817090
-
- Professional Counselor
- Laurel, MS
- NPI 1700439098
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589155200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1747699200000",
"number": "1366064669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "54 MATTIE DR",
"city": "ELLISVILLE",
"state": "MS",
"postal_code": "394375147",
"telephone_number": "601-307-3917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "409 W OAK ST STE 401D",
"city": "LAUREL",
"state": "MS",
"postal_code": "394404169",
"telephone_number": "601-228-1144"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROSLYN ASHFORD WELLNESS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2020-05-11",
"last_updated": "2025-05-20",
"certification_date": "2025-05-20",
"status": "A",
"authorized_official_last_name": "ASHFORD",
"authorized_official_first_name": "ROSLYN",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "601-307-3917",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://nuleaftherapy.secure-client-area.com/portal/",
"affiliation": "N",
"endpointDescription": "client portal",
"address_1": "542 Central Ave",
"city": "Laurel",
"state": "MS",
"country_code": "US",
"postal_code": "394403955",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Nu Leaf Therapy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Nu Leaf Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Laurel, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.