Individual provider Active NPI

Ashley M. Homstead, LCSW, LADC, CCS

  • Mental Health Counselor
  • Brewer, ME
National Provider Identifier
1639635782
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MC19083 Issued in ME
Practice address
613 S Main St Apt 1
Brewer, ME 04412-2530
Phone
(207) 356-7904
Fax
(207) 573-1104
NPI assigned
Feb 13, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LC6896 ME
Mental Health Counselor 101YM0800X MC19083 ME Primary

Addresses

Primary practice location

613 S Main St Apt 1
Brewer, ME 04412-2530

Mailing address

613 S Main St Apt 1
Brewer, ME 04412-2530
Phone (207) 356-7904

Other practice location 1

12 Acme Rd Ste 207
Brewer, ME 04412-1546
Phone (207) 573-4722

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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
I20240829001356 ME Practitioner - Clinical Social Worker 5799224176 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

613 S Main St
Apt 1
Brewer, ME 04412-2530
Phone (207) 356-7904

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MC19083MEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Spooky Barbie Healing LLC Mental Health CurrentSince Sep 21, 2024 Accepting new patients

Locations

12 Acme Rd
Ste 207
Brewer, ME 04412
Phone (207) 573-4722

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": "1550016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1639635782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 S MAIN ST APT 1",
            "city": "BREWER",
            "state": "ME",
            "postal_code": "044122530",
            "telephone_number": "207-356-7904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 S MAIN ST APT 1",
            "city": "BREWER",
            "state": "ME",
            "postal_code": "044122530",
            "telephone_number": "207-356-7904",
            "fax_number": "207-573-1104"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 Acme Rd Ste 207",
            "address_purpose": "LOCATION",
            "city": "Brewer",
            "state": "ME",
            "postal_code": "044121546",
            "country_code": "US",
            "telephone_number": "207-573-4722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOMSTEAD",
        "first_name": "ASHLEY",
        "middle_name": "M.",
        "credential": "LCSW, LADC, CCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-13",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ME",
            "license": "LC6896",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ME",
            "license": "MC19083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brewer, ME

Sources for this page

Verify at the official NPI Registry.