Active NPI
Nancy M Ashburn, MED
- Mental Health Counselor
- Newport, WA
National Provider Identifier
1417009093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MC60306312
- Practice address
- 105 South Garden Ave
Newport, WA 99156-5055 - Phone
- (509) 447-5651
- Fax
- (509) 447-2671
- NPI assigned
- Jan 17, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MC60306312 | WA | Primary |
Addresses
Primary practice location
105 South Garden Ave
Newport, WA 99156-5055
Mailing address
PO Box 5055
Newport, WA 99156-5055
Phone (509) 447-5651
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MC60306312 | WA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pend Oreille County Counseling Services | Mental Health | Past | Accepting new patients |
| Pend Oreille County Counseling Services | Mental Health | Past | Accepting new patients |
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/pendoreilleco/r4/
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.
-
- Mental Health Counselor
- Newport, WA
- NPI 1104978824
-
- Mental Health Counselor
- Newport, WA
- NPI 1982956561
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365638400000",
"number": "1417009093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5055",
"city": "NEWPORT",
"state": "WA",
"postal_code": "991565055",
"telephone_number": "509-447-5651",
"fax_number": "509-447-2671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 SOUTH GARDEN AVE",
"city": "NEWPORT",
"state": "WA",
"postal_code": "991565055",
"telephone_number": "509-447-5651",
"fax_number": "509-447-2671"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASHBURN",
"first_name": "NANCY",
"middle_name": "M",
"credential": "MED",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-17",
"last_updated": "2013-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "MC60306312",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newport, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.