Active NPI
Ashley Christine Overman-Goldsmith, MA, LPC, NCC
- Professional Counselor
- Raleigh, NC
National Provider Identifier
1447648985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 11315
- Practice address
- 722 Parkham LN
Raleigh, NC 27603-1787 - Phone
- (252) 435-7747
- NPI assigned
- Jan 7, 2015
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 11315 | NC | Primary |
Addresses
Primary practice location
722 Parkham LN
Raleigh, NC 27603-1787
Mailing address
722 Parkham LN
Raleigh, NC 27603-1787
Phone (252) 435-7747
Other practice location 1
8368 Six Forks Rd Ste 101
Raleigh, NC 27615-5083
Phone (919) 277-0253
Other names 1
- Ashley C. Overman
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11315 | NC | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sea Change Therapy PLLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Williamsburg, VA
- NPI 1790215986
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522281600000",
"number": "1447648985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "722 PARKHAM LN",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276031787",
"telephone_number": "252-435-7747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "722 PARKHAM LN",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276031787",
"telephone_number": "252-435-7747"
}
],
"practiceLocations": [
{
"address_1": "8368 Six Forks Rd Ste 101",
"address_purpose": "LOCATION",
"city": "Raleigh",
"state": "NC",
"postal_code": "276155083",
"country_code": "US",
"telephone_number": "919-277-0253",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OVERMAN-GOLDSMITH",
"first_name": "ASHLEY",
"middle_name": "CHRISTINE",
"credential": "MA, LPC, NCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-07",
"last_updated": "2018-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "11315",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ASHLEY",
"last_name": "OVERMAN",
"middle_name": "C.",
"credential": "MA, LPC, NCC",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.