Ashley N Tate

Primary specialty

CounselorTaxonomy code 101Y00000X

License

A2307008 Issued in AR

Practice address

4055 Seraph Dr Ste 5
Conway, AR 72034-3536

Phone

(501) 314-6088

NPI assigned

Oct 12, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Peace of Mind Counseling Centers PLLC

  • Community/Behavioral Health Agency
  • Greenbrier, AR
  • NPI 1619334349
  NPD (past)

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

{
    "created_epoch": "1665532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1427773456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4055 SERAPH DR STE 5",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720343536",
            "telephone_number": "501-314-6088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4055 SERAPH DR STE 5",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720343536",
            "telephone_number": "501-314-6088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATE",
        "first_name": "ASHLEY",
        "middle_name": "N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-12",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AR",
            "license": "A2307008",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "AR",
            "license": "RBT-21-184577",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria L Talley, BT
• Lori Tankersley, LPN
• Sara R Tanner, RBT
• Krista Tapp, MS. OTRL
• Annias Tate
• Shakenia A Tate, APRN
• Ashley Suzanne Taylor, PT, DPT
• Chad Taylor, PA-C
• Destiny Taylor
• James Taylor

• Counselor in Conway, AR
• Providers in Conway, AR by specialty
• Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.