Individual provider Active NPI

Ashley Lundi

  • Mental Health Counselor
  • Lawrenceville, GA
National Provider Identifier
1396423224
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
190 Camden Hill Rd Ste a
Lawrenceville, GA 30046-2448
Phone
(706) 362-0089
NPI assigned
Jul 10, 2023
Last updated
Jul 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

190 Camden Hill Rd Ste a
Lawrenceville, GA 30046-2448

Mailing address

1470 Boggs Rd Apt 304
Duluth, GA 30096-5837
Phone (706) 362-0089

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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

Enrollment IDStateProvider typePAC IDDetails
I20240511000273 GA Practitioner - Mental Health Counselor 5193166940 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Georgia Psychological Services LLCGroup PAC ID 1850600891, 8 clinicians

Practice addresses (Care Compare)

4073 Hwy 53
Hoschton, GA 30548-2305
Phone (770) 882-5884

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
014383GAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Georgia Psychological Services LLC CurrentSince Apr 10, 2024 Accepting new patients

Locations

4073 Highway 53
Hoschton, GA 30548
Phone (770) 882-5884

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1688947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1396423224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1470 BOGGS RD APT 304",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300965837",
            "telephone_number": "706-362-0089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 CAMDEN HILL RD STE A",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300462448",
            "telephone_number": "706-362-0089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNDI",
        "first_name": "ASHLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-10",
        "last_updated": "2023-07-10",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

Verify at the official NPI Registry.