Active NPI
Ashley Lynn Juster-Kruse, LMHC
- Mental Health Counselor
- Hicksville, NY
National Provider Identifier
1518406461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 010818
- Practice address
- 950 S Oyster Bay Rd
Hicksville, NY 11801-3511 - Phone
- (516) 822-6111
- NPI assigned
- Feb 13, 2017
- Last updated
- Sep 20, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 010818 | NY | Primary |
Addresses
Primary practice location
950 S Oyster Bay Rd
Hicksville, NY 11801-3511
Mailing address
930 Central Avenue
Unit 226
Saint Petersburg, FL 33705
Phone (516) 662-9955
Other practice location 1
14202 20th Ave
Flushing, NY 11351-3000
Phone (917) 563-3350
Other names 1
- Ashley Lynn Gentil
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010818 | NY | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| My Quiet Place, Mental Health Counseling P.C. | Mental Health | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Eclectic Psychotherapy Group
- Mental Health Counselor
- Staten Island, NY
- NPI 1932708682
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695168000000",
"number": "1518406461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "930 CENTRAL AVENUE",
"address_2": "UNIT 226",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "33705",
"telephone_number": "516-662-9955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 S OYSTER BAY RD",
"city": "HICKSVILLE",
"state": "NY",
"postal_code": "118013511",
"telephone_number": "516-822-6111"
}
],
"practiceLocations": [
{
"address_1": "14202 20th Ave",
"address_purpose": "LOCATION",
"city": "Flushing",
"state": "NY",
"postal_code": "113513000",
"country_code": "US",
"telephone_number": "917-563-3350",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JUSTER-KRUSE",
"first_name": "ASHLEY",
"middle_name": "LYNN",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-02-13",
"last_updated": "2023-09-20",
"certification_date": "2021-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "010818",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ASHLEY",
"last_name": "GENTIL",
"middle_name": "LYNN",
"credential": "LMHC",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Hicksville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 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.