Active NPI
Ashley M. Homstead, LCSW, LADC, CCS
- Mental Health Counselor
- Brewer, ME
National Provider Identifier
1639635782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MC19083
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| MC19083 | ME | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spooky Barbie Healing LLC | Mental Health | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.