Individual provider Active NPI

Ashley Nicole Edmond, LPCA

  • Mental Health Counselor
  • Concord, NC
National Provider Identifier
1598234353
Registry record updated Nov 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A14369 Issued in NC
Practice address
2902 Watercrest Dr NW
Concord, NC 28027-3812
Phone
(607) 591-1090
NPI assigned
Nov 21, 2018
Last updated
Nov 21, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A14369 NC Primary

Addresses

Primary practice location

2902 Watercrest Dr NW
Concord, NC 28027-3812

Mailing address

2902 Watercrest Dr NW
Concord, NC 28027-3812
Phone (607) 591-1090

Other practice location 1

609 S New Hope Rd Ste 102
Gastonia, NC 28054-4825
Phone (704) 412-2403

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

LicenseStateTypeSpecialty
A14369NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
New Hope Counseling and Wellness LLC PastSince Jun 5, 2020 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.

NPI Registry JSON

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

{
    "created_epoch": "1542758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542758400000",
    "number": "1598234353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2902 WATERCREST DR NW",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280273812",
            "telephone_number": "607-591-1090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2902 WATERCREST DR NW",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280273812",
            "telephone_number": "607-591-1090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "609 S New Hope Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Gastonia",
            "state": "NC",
            "postal_code": "280544825",
            "country_code": "US",
            "telephone_number": "704-412-2403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDMOND",
        "first_name": "ASHLEY",
        "middle_name": "NICOLE",
        "credential": "LPCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-21",
        "last_updated": "2018-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A14369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.

Verify at the official NPI Registry.