Individual provider Active NPI

Ashley Brake, LPCC

  • Mental Health Counselor
  • Monticello, KY
National Provider Identifier
1407277387
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1589 Issued in KY
Practice address
735 W Columbia Ave
Monticello, KY 42633-1627
Phone
(606) 396-3488
NPI assigned
Dec 19, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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 1589 KY Primary

Addresses

Primary practice location

735 W Columbia Ave
Monticello, KY 42633-1627

Mailing address

735 W Columbia Ave
Monticello, KY 42633-1627
Phone (606) 396-3488

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20240409003755 KY Practitioner - Mental Health Counselor 1850739863 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1589KYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Rise Mental Health and Wellness Mental Health CurrentSince Jun 26, 2019 Accepting new patients
Lake Cumberland Regional Mental Health Mental Retardation Board, Inc. PastSince Mar 21, 2024 Accepting new patients

Locations

735 W Columbia Ave
Monticello, KY 42633
Phone (606) 348-9318

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1387411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1407277387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 W COLUMBIA AVE",
            "city": "MONTICELLO",
            "state": "KY",
            "postal_code": "426331627",
            "telephone_number": "606-396-3488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 W COLUMBIA AVE",
            "city": "MONTICELLO",
            "state": "KY",
            "postal_code": "426331627",
            "telephone_number": "606-396-3488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAKE",
        "first_name": "ASHLEY",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-19",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "1589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monticello, KY

Sources for this page

Verify at the official NPI Registry.