Active NPI
Ashley Bradshaw, LCSW,PMH-C, PPSC
- Clinical Social Worker
- Eureka, CA
National Provider Identifier
1639650310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 128201
- Practice address
- 517 3Rd St Ste 40-41
Eureka, CA 95501-5105 - Phone
- (707) 502-2033
- NPI assigned
- Aug 22, 2018
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 89609 | CA | |
| Clinical Social Worker | 1041C0700X | 128201 | CA | Primary |
| Mental Health Counselor | 101YM0800X |
Addresses
Primary practice location
517 3Rd St Ste 40-41
Eureka, CA 95501-5105
Mailing address
6948 Humboldt Hill Rd
Eureka, CA 95503-7129
Phone (707) 496-0453
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 128201 | CA | MD | Clinical Social Worker |
| 89609 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Goode Therapy, Licensed Clinical Social Worker, Inc. | Mental Health | Current | Accepting new patients |
Locations
665 F St
Ste C
Arcata, CA 95521
Phone (707) 475-5241
517 3rd St
Ste 40
Eureka, CA 95501
Phone (707) 798-6488
517 3rd St
Ste 4041
Eureka, CA 95501
Phone (707) 502-2033
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.
-
- Mental Health Counselor
- Eureka, CA
- NPI 1558167221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776211200000",
"number": "1639650310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6948 HUMBOLDT HILL RD",
"city": "EUREKA",
"state": "CA",
"postal_code": "955037129",
"telephone_number": "707-496-0453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "517 3RD ST STE 40-41",
"city": "EUREKA",
"state": "CA",
"postal_code": "955015105",
"telephone_number": "707-502-2033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADSHAW",
"first_name": "ASHLEY",
"credential": "LCSW,PMH-C, PPSC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-22",
"last_updated": "2026-04-15",
"certification_date": "2026-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "89609",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "128201",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eureka, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.