Individual provider Active NPI

Ashley Arnold

  • Mental Health Counselor
  • Mastic, NY
National Provider Identifier
1508404054
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
011723-01 Issued in NY
Practice address
1235 Montalk Highway
Mastic, NY 11950
Phone
(631) 924-3741
NPI assigned
Dec 16, 2019
Last updated
Oct 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Mental Health Counselor 101YM0800X 011723-01 NY Primary

Addresses

Primary practice location

1235 Montalk Highway
Mastic, NY 11950

Mailing address

319 Revilo Ave
Shirley, NY 11967-1634

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL asharnold

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20260218000851 NY Practitioner - Mental Health Counselor 2961982939 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3 Oreste St
Smithtown, NY 11787-2531

790 Park Ave
Huntington, NY 11743-4516

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
011723-01NYMDMental Health Counselor
011723NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Service League, Inc. CurrentSince Jan 10, 2026 Accepting new patients

Locations

90 Adams Ave
Hauppauge, NY 11788
Phone (631) 392-0081

790 Park Ave
Huntington, NY 11743
Phone (631) 427-3700

1235 Montauk Hwy
Mastic, NY 11950
Phone (631) 345-0083

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": "1576454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1508404054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 REVILO AVE",
            "city": "SHIRLEY",
            "state": "NY",
            "postal_code": "119671634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 MONTALK HIGHWAY",
            "city": "MASTIC",
            "state": "NY",
            "postal_code": "11950",
            "telephone_number": "631-924-3741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARNOLD",
        "first_name": "ASHLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-16",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "011723-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "asharnold",
            "affiliation": "N",
            "address_1": "1235 Montalk Highway",
            "city": "Mastic",
            "state": "NY",
            "country_code": "US",
            "postal_code": "11950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mastic, NY

Sources for this page

Verify at the official NPI Registry.