Ashley Suzanne Blekicki, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

278166 Issued in NC

Practice address

120 Chadwick Square CT Ste C
Hendersonville, NC 28739-3200

Phone

(828) 697-2660

NPI assigned

Apr 19, 2021

Last updated

Jul 20, 2021By the provider in NPPES

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

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Family Preservation Services of North Carolina LLCGroup PAC ID 7214028539, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Family Preservation Services of North Carolina, LLC

  dba Clarvida

  • Community/Behavioral Health Agency
  • Hendersonville, NC
  • NPI 1952537615
  Medicare reassignment Care Compare group
• Pathways Human Services of North Carolina, LLC

  dba Clarvida

  • Community/Behavioral Health Agency
  • Charlotte, NC
  • NPI 1992317606
  Medicare reassignment
• Family Preservation Services of North Carolina, LLC

  dba Clarvida

  • Community/Behavioral Health Agency
  • Asheville, NC
  • NPI 1043446966
  NPD
• Pathways Human Services of North Carolina, LLC

  dba Access Family Services

  • Community/Behavioral Health Agency
  • Wilson, NC
  • NPI 1114531993

  Psychiatric/Mental Health

  NPD
• Pathways Human Services of North Carolina, LLC

  dba Clarvida

  • Community/Behavioral Health Agency
  • Raleigh, NC
  • NPI 1285246991

  Psychiatric/Mental Health

  NPD
• Aspire Psychiatry

  • Psychiatric/Mental Health Nurse Practitioner
  • Morganton, NC
  • NPI 1396363339
  NPD (past)

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

{
    "created_epoch": "1618790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626739200000",
    "number": "1497336747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 CHADWICK SQUARE CT STE C",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287393200",
            "telephone_number": "828-697-2660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 CHADWICK SQUARE CT STE C",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287393200",
            "telephone_number": "828-697-2660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLEKICKI",
        "first_name": "ASHLEY",
        "middle_name": "SUZANNE",
        "name_prefix": "Mrs.",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-19",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "256487",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "278166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Blue Ridge Community Health Services, Inc

• Psychiatric/Mental Health Nurse Practitioner in Hendersonville, NC
• Providers in Hendersonville, NC by specialty
• Psychiatric/Mental Health Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.