Organization Active NPI

Ashes and Joy Counseling, LLC

  • Community/Behavioral Health Agency
  • Portland, OR
National Provider Identifier
1659132298
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ASHES AND JOY COUNSELING, LLC
Practice address
11192 SE 52ND CT
Portland, OR 97222-3500
Phone
(503) 850-8088
Fax
(833) 648-2365
NPI assigned
Jan 22, 2024
Last updated
Jan 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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

Authorized official

Name
Ms. Kimberly Joy Wilson, LMHCA, PROF COUN ASNPI 1760003958
Title
Owner
Phone
(503) 850-8088

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

11192 SE 52ND CT
Portland, OR 97222-3500

Mailing address

11192 SE 52ND CT
Portland, OR 97222-3500
Phone (503) 850-8088

Other practice location 1

11105 NE 14th St Ste 103
Vancouver, WA 98684-4309
Phone (503) 850-8088

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1705881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705881600000",
    "number": "1659132298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11192 SE 52ND CT",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972223500",
            "telephone_number": "503-850-8088",
            "fax_number": "833-648-2365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11192 SE 52ND CT",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972223500",
            "telephone_number": "503-850-8088",
            "fax_number": "833-648-2365"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11105 NE 14th St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986844309",
            "country_code": "US",
            "telephone_number": "503-850-8088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ASHES AND JOY COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-22",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-20",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-850-8088",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMHCA, PROF COUN AS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; 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.