Individual provider Active NPI

Ashley Dee Wendland, LCPC

  • Professional Counselor
  • Sandpoint, ID
National Provider Identifier
1629367461
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5074 Issued in ID
Practice address
212 N 1St Ave Ste 200
Sandpoint, ID 83864-1451
Phone
(208) 946-5242
NPI assigned
Apr 1, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 5074 ID Primary

Addresses

Primary practice location

212 N 1St Ave Ste 200
Sandpoint, ID 83864-1451

Mailing address

212 N 1St Ave Ste 200
Sandpoint, ID 83864-1451
Phone (082) 946-0918

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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
I20241213003362 ID Practitioner - Mental Health Counselor 3971996562 Practice locations: Sandpoint, ID

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

212 N 1St Ave
Suite 200
Sandpoint, ID 83864-1451
Phone (208) 946-5242

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5074IDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Syringa Psychotherapy PastSince Oct 4, 2024 Accepting new patients

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Kaniksu Community HealthPriest River, ID, CCN 131847 Federally qualified health center Corporate Officer Sep 1, 2017
Kaniksu Community HealthSandpoint, ID, CCN 131862 Federally qualified health center Corporate Director Sep 1, 2017

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1301616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1629367461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 N 1ST AVE STE 200",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641451",
            "telephone_number": "082-946-0918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 N 1ST AVE STE 200",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641451",
            "telephone_number": "208-946-5242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENDLAND",
        "first_name": "ASHLEY",
        "middle_name": "DEE",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-01",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "5074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandpoint, ID

Sources for this page

Verify at the official NPI Registry.