Active NPI
Ashlie Nelson, LPC
- Mental Health Counselor
- Oklahoma City, OK
National Provider Identifier
1588927743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6527
- Practice address
- 5929 N May Ave Ste 304
Oklahoma City, OK 73112-3910 - Phone
- (405) 314-2920
- Fax
- (405) 286-0362
- NPI assigned
- Jun 21, 2012
- Last updated
- Nov 20, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | 6527 | OK | |
| Mental Health Counselor | 101YM0800X | 6527 | OK | Primary |
Addresses
Primary practice location
5929 N May Ave Ste 304
Oklahoma City, OK 73112-3910
Mailing address
1933 NW 39TH St
Oklahoma City, OK 73118-2611
Phone (405) 314-2920
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200114430A | Medicaid | OK |
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 |
|---|---|---|---|
| 6527 | OK | MD | Mental Health Clinic/Center (Including Community Mental Health Center) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Time to Talk, LLC | Mental Health (Including Community Mental Health Center) | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Oklahoma City, OK
- NPI 1255845624
Mental Health (Including Community Mental Health Center)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542672000000",
"number": "1588927743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1933 NW 39TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731182611",
"telephone_number": "405-314-2920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5929 N MAY AVE STE 304",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731123910",
"telephone_number": "405-314-2920",
"fax_number": "405-286-0362"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "ASHLIE",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-21",
"last_updated": "2018-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "OK",
"license": "6527",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OK",
"license": "6527",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200114430A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.