Individual provider Active NPI

Ashly Carbone

  • Professional Counselor
  • Lake Charles, LA
National Provider Identifier
1609528058
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
9595 Issued in LA
Practice address
133 Jefferson Dr
Lake Charles, LA 70605-5713
Phone
(337) 431-7194
NPI assigned
Jan 26, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Professional Counselor 101YP2500X 9595 LA Primary

Addresses

Primary practice location

133 Jefferson Dr
Lake Charles, LA 70605-5713

Mailing address

133 Jefferson Dr
Lake Charles, LA 70605-5713
Phone (337) 431-7194

Other identifiers 1

IdentifierTypeStateIssuer
1649929MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20251105001303 LA Practitioner - Mental Health Counselor 6204326630 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Counseling Services of Southwest Louisiana IncGroup PAC ID 4981931201, 2 clinicians

Practice addresses (Care Compare)

133 Jefferson Dr
Lake Charles, LA 70605-5713
Phone (337) 431-7194

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9595LAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Services of Southwest Louisiana, Inc. CurrentSince Aug 7, 2025 Accepting new patients
Disney & Associates, Inc Past Accepting new patients

Locations

133 Jefferson Dr
Lake Charles, LA 70605
Phone (337) 431-7194

112 State St
Lake Charles, LA 70605
Phone (337) 368-7283

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": "1643155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1609528058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 JEFFERSON DR",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706055713",
            "telephone_number": "337-431-7194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 JEFFERSON DR",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706055713",
            "telephone_number": "337-431-7194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARBONE",
        "first_name": "ASHLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-26",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "9595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1649929",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.