Ashlie Deserai Staples

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC.0018447 Issued in CO

Practice address

3595 E Fountain Blvd
Colorado Springs, CO 80910-1733

Phone

(270) 604-9423

NPI assigned

Sep 4, 2019

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

Other names 1

• Ashlie Deserai Bishop Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Moonlit Counseling

  • Professional Counselor
  • Colorado Springs, CO
  • NPI 1184478620
  NPD Authorized official

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

{
    "created_epoch": "1567555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1508415324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3595 E FOUNTAIN BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809101733",
            "telephone_number": "270-604-9423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3595 E FOUNTAIN BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809101733",
            "telephone_number": "270-604-9423"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5353 N Union Blvd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809182069",
            "country_code": "US",
            "telephone_number": "970-310-3406",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "735 North Dr",
            "address_purpose": "LOCATION",
            "city": "Hopkinsville",
            "state": "KY",
            "postal_code": "422402620",
            "country_code": "US",
            "telephone_number": "708-865-1632",
            "fax_number": "270-886-5178",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STAPLES",
        "first_name": "ASHLIE",
        "middle_name": "DESERAI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-04",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "248641",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0018447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLIE",
            "last_name": "BISHOP",
            "middle_name": "DESERAI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• John Stanson, LCSW
• Paul Stanton, D.O.
• Anthony A Stanulonis, MD
• Olivia Stanzer, PT, DPT
• Kade Stanzilis, LPCC
• Jason Drew Staples, OTR/L
• Shauntee Staples
• Star Dental Institute Inc
• David Allen Stark, MD
• Marie Elizabeth Stark, SWC

• Professional Counselor in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Professional Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; 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.