Individual provider Active NPI

Ashley Bradshaw, LCSW,PMH-C, PPSC

  • Clinical Social Worker
  • Eureka, CA
National Provider Identifier
1639650310
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
128201 Issued in CA
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

Updated by the provider on Apr 15, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
128201CAMDClinical Social Worker
89609CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Goode Therapy, Licensed Clinical Social Worker, Inc. Mental Health CurrentSince Feb 23, 2025 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.

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.

Verify at the official NPI Registry.