Individual provider Active NPI

Ashley Lynn Konermann, LPC

  • Professional Counselor
  • Round Rock, TX
National Provider Identifier
1558190900
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
87501 Issued in TX
Practice address
1 Chisholm Trail Rd Ste 225
Round Rock, TX 78681-5106
Phone
(512) 768-6383
NPI assigned
Aug 1, 2024
Last updated
Nov 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 87501 TX Primary

Addresses

Primary practice location

1 Chisholm Trail Rd Ste 225
Round Rock, TX 78681-5106

Mailing address

1505 Chaparral Rd
Burkburnett, TX 76354-2803
Phone (940) 235-2668

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20241129000364 TX Practitioner - Mental Health Counselor 4688109598 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Deep Eddy Psychotherapy Management, LLCGroup PAC ID 2264886936, 70 clinicians

Practice addresses (Care Compare)

1 Chisholm Trail Rd
Suite 225
Round Rock, TX 78681-5106
Phone (512) 956-6463

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
87501TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Deep Eddy Psychotherapy Management, LLC CurrentSince Nov 22, 2024 Accepting new patients
Deep Centered Psychiatry PLLC PastSince Nov 22, 2024 Accepting new patients

Locations

508 Deep Eddy Ave
Austin, TX 78703
Phone (512) 469-0889

1 Chisholm Trail Rd
Ste 225
Round Rock, TX 78681
Phone (512) 768-6383

1922 Dry Creek Way
Ste 108
San Antonio, TX 78259
Phone (512) 887-3993

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, 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": "1722470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1558190900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 CHAPARRAL RD",
            "city": "BURKBURNETT",
            "state": "TX",
            "postal_code": "763542803",
            "telephone_number": "940-235-2668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CHISHOLM TRAIL RD STE 225",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786815106",
            "telephone_number": "512-768-6383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONERMANN",
        "first_name": "ASHLEY",
        "middle_name": "LYNN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-01",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "87501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

Verify at the official NPI Registry.