Individual provider Active NPI

Ashley Marie Scroggins, MS, CLINICAL MENTAL

  • Mental Health Counselor
  • Poteau, OK
National Provider Identifier
1609214717
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6628 Issued in OK
Practice address
502 Dewey Ave
Poteau, OK 74953-4216
Phone
(918) 647-2372
NPI assigned
Jun 11, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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 6628 OK Primary

Addresses

Primary practice location

502 Dewey Ave
Poteau, OK 74953-4216

Mailing address

35090 Goss LN
Poteau, OK 74953-7788
Phone (918) 839-4710

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20241108002432 OR Practitioner - Mental Health Counselor 4183158488 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
6628OKMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sapphire Blue Behavioral Health Solutions Mental Health CurrentSince Oct 1, 2024 Accepting new patients
River Vally Counseling Past Accepting new patients

Locations

5285 Meadows Rd
Ste 170
Lake Oswego, OR 97035
Phone (503) 276-5216

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": "1370908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1609214717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35090 GOSS LN",
            "city": "POTEAU",
            "state": "OK",
            "postal_code": "749537788",
            "telephone_number": "918-839-4710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 DEWEY AVE",
            "city": "POTEAU",
            "state": "OK",
            "postal_code": "749534216",
            "telephone_number": "918-647-2372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCROGGINS",
        "first_name": "ASHLEY",
        "middle_name": "MARIE",
        "credential": "MS, CLINICAL MENTAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-11",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "6628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poteau, OK

Sources for this page

Verify at the official NPI Registry.