Individual provider Active NPI

Ashley Outman, LPC

  • Counselor
  • Kalamazoo, MI
National Provider Identifier
1548698970
Registry record updated Mar 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6401018217
Practice address
5380 Holiday Ter Ste 27
Kalamazoo, MI 49009-2128
Phone
(269) 779-9862
NPI assigned
Oct 22, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6401018217 Primary

Addresses

Primary practice location

5380 Holiday Ter Ste 27
Kalamazoo, MI 49009-2128

Mailing address

7162 Marfield St
Portage, MI 49024-4231
Phone (269) 779-9862

Other identifiers 1

IdentifierTypeStateIssuer
6401015684MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Home

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20260415003558 MI Practitioner - Mental Health Counselor 4486120623 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6070 Newport Rd
Portage, MI 49002-9234

7162 Marfield St
Portage, MI 49024-4231

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Aob Counseling, LLC CurrentSince Sep 6, 2020 Accepting new patients
Kathy Piecuch Counseling Services Counselor CurrentSince Apr 10, 2026 Accepting new patients

Locations

5380 Holiday Ter
Ste 27
Kalamazoo, MI 49009
Phone (269) 779-9862

6070 Newport Rd
Portage, MI 49002
Phone (269) 409-3000

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1382400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585612800000",
    "number": "1548698970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7162 MARFIELD ST",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490244231",
            "telephone_number": "269-779-9862",
            "fax_number": "269-459-9995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5380 HOLIDAY TER STE 27",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490092128",
            "telephone_number": "269-779-9862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OUTMAN",
        "first_name": "ASHLEY",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-22",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": "6401018217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6401015684",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Home",
            "affiliation": "N",
            "address_1": "7162 Marfield St",
            "city": "Portage",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490244231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.