Ashley Kay Provost, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6801098960 Issued in MI

Practice address

1209 N 3Rd St
Marquette, MI 49855-3009

Phone

(906) 286-3254

Fax

(906) 273-2005

NPI assigned

Jan 20, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Suunta Integrative Health

  • Clinical Social Worker
  • Marquette, MI
  • NPI 1720646508
  Medicare reassignment

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

{
    "created_epoch": "1453248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571702400000",
    "number": "1558728667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 N 3RD ST",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498553009",
            "telephone_number": "069-286-3254",
            "fax_number": "906-273-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 N 3RD ST",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498553009",
            "telephone_number": "906-286-3254",
            "fax_number": "906-273-2005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 W Spring St",
            "address_purpose": "LOCATION",
            "city": "Marquette",
            "state": "MI",
            "postal_code": "498554661",
            "country_code": "US",
            "telephone_number": "906-225-9835",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PROVOST",
        "first_name": "ASHLEY",
        "middle_name": "KAY",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-20",
        "last_updated": "2019-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801098960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colton John Prete, DO
• Wendy Prevost, LMSW
• Karley Jo Price
• Sandra Pritchett, FNP-C
• Kaylea Ann Proksch, M.S., BCBA
• Maigen Pruett, PHARMD
• Jennifer Nicole Prus, BCBA
• Katherine Pryor, ATC
• Psychiatric Associates of Marquette
• Psychological Services of Danville, PLLC

• Social Worker in Marquette, MI
• Providers in Marquette, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.