Individual provider Active NPI

Ashley Neale Bullard Franklin, LPC

  • Professional Counselor
  • Jackson, MS
National Provider Identifier
1386074912
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1827 Issued in MS
Practice address
1640 Lelia Dr Ste 140
Jackson, MS 39216-4832
Phone
(601) 706-9611
NPI assigned
Nov 18, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 67560 TX
Professional Counselor 101YP2500X 1827 MS Primary

Addresses

Primary practice location

1640 Lelia Dr Ste 140
Jackson, MS 39216-4832

Mailing address

1640 Lelia Dr Ste 140
Jackson, MS 39216-4832
Phone (601) 706-9611

Other practice location 1

2540 Flowood Dr
Flowood, MS 39232-9362
Phone (601) 939-5993

Other identifiers 1

IdentifierTypeStateIssuer
00018209MedicaidMS

Other names 1

  • Ms. Ashley Neale Bullard Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Dec 4, 2024 through Dec 4, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1827MSMDProfessional Counselor
67560TXMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1384732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1386074912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 LELIA DR STE 140",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164832",
            "telephone_number": "601-706-9611",
            "fax_number": "601-724-5165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 LELIA DR STE 140",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164832",
            "telephone_number": "601-706-9611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2540 Flowood Dr",
            "address_purpose": "LOCATION",
            "city": "Flowood",
            "state": "MS",
            "postal_code": "392329362",
            "country_code": "US",
            "telephone_number": "601-939-5993",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRANKLIN",
        "first_name": "ASHLEY",
        "middle_name": "NEALE BULLARD",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-18",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "67560",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "1827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00018209",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "BULLARD",
            "middle_name": "NEALE",
            "prefix": "MS.",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.