Individual provider Active NPI

Stephanie Pauline Ashley, LMFT

  • Mental Health Counselor
  • Olympia, WA
National Provider Identifier
1407322498
Registry record updated May 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CG60817661 Issued in WA
Practice address
8637 Lake Lucinda Dr SW
Olympia, WA 98512-9356
Phone
(720) 560-7381
NPI assigned
Oct 17, 2018
Last updated
May 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2022

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 CG60817661 WA Primary

Addresses

Primary practice location

8637 Lake Lucinda Dr SW
Olympia, WA 98512-9356

Mailing address

8637 Lake Lucinda Dr SW
Olympia, WA 98512-9356
Phone (720) 560-7381

Other practice location 1

325 E Pioneer
Puyallup, WA 98372-3265
Phone (253) 697-8400

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241126000980 WA Practitioner - Marriage and Family Therapist 3870028913 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CG60817661WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Living Sound Therapeutic Services, PLLC Mental Health CurrentSince Nov 23, 2024 Accepting new patients

Locations

3627 Ensign Rd NE
Ste B
Olympia, WA 98506
Phone (360) 438-0306

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": "1539734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652227200000",
    "number": "1407322498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8637 LAKE LUCINDA DR SW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985129356",
            "telephone_number": "720-560-7381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8637 LAKE LUCINDA DR SW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985129356",
            "telephone_number": "720-560-7381"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "325 E Pioneer",
            "address_purpose": "LOCATION",
            "city": "Puyallup",
            "state": "WA",
            "postal_code": "983723265",
            "country_code": "US",
            "telephone_number": "253-697-8400",
            "fax_number": "253-697-3730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ASHLEY",
        "first_name": "STEPHANIE",
        "middle_name": "PAULINE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-17",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "CG60817661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

Verify at the official NPI Registry.