Active NPI
Ashley Nicole-Kirley Nelson, LMFT
- Marriage & Family Therapist
- Olympia, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LF60795314
- Practice address
- 908 5TH Ave SE
Olympia, WA 98501-1507 - Phone
- (360) 754-2423
- NPI assigned
- Jan 8, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MG60606139 | WA | |
| Marriage & Family Therapist | 106H00000X | LF60795314 | WA | Primary |
Addresses
Primary practice location
908 5TH Ave SE
Olympia, WA 98501-1507
Mailing address
711 State Ave NE
Olympia, WA 98506-3984
Phone (360) 972-6947
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MG60606139 | WA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Telecare Mental Health Services of Washington, Inc. | Current | Accepting new patients | |
| Telecare Mental Health Services of Washington, Inc | Current | Accepting new patients | |
| Telecare Mental Health Services of Washington Inc | Current | Accepting new patients |
Locations
1080 Marina Village Pkwy
Ste 100
Alameda, CA 94501
Phone (510) 306-5660
908 5th Ave SE
Olympia, WA 98501
Phone (360) 754-2423
601 W Franklin St
Ste B
Shelton, WA 98584
Phone (360) 462-3016
9601 Steilacoom Blvd SW
Bldg 27
Tacoma, WA 98498
Phone (253) 589-5334
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.
-
dba Telecare Recovery Partnership
- Psychiatric Residential Treatment Facility
- Tacoma, WA
- NPI 1780913657
-
dba King County PACT
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Tukwila, WA
- NPI 1902540362
-
dba North Sound Evaluation and Treatment
- Mental Illness Community Based Residential Treatment Facility
- Sedro Woolley, WA
- NPI 1659758639
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713225600000",
"number": "1366808156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 STATE AVE NE",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985063984",
"telephone_number": "360-972-6947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "908 5TH AVE SE",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985011507",
"telephone_number": "360-754-2423"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "ASHLEY",
"middle_name": "NICOLE-KIRLEY",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-08",
"last_updated": "2024-04-16",
"certification_date": "2022-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "WA",
"license": "MG60606139",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "WA",
"license": "LF60795314",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Olympia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.