Individual provider Active NPI

Ashlee Noel Secord, M.A., LMFT

  • Marriage & Family Therapist
  • Burnsville, MN
National Provider Identifier
1659516888
Registry record updated Jun 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1971 Issued in MN
Practice address
11990 Portland Ave
Burnsville, MN 55337-1516
Phone
(612) 568-6050
Fax
(952) 479-7896
NPI assigned
Dec 2, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 1971 MN Primary

Addresses

Primary practice location

11990 Portland Ave
Burnsville, MN 55337-1516

Mailing address

11990 Portland Ave
Burnsville, MN 55337-1516
Phone (612) 568-6050

Other practice location 1

190 S River Ridge Cir
Suite # 208
Burnsville, MN 55337-1627
Phone (612) 568-6050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240306002525 MN Practitioner - Marriage and Family Therapist 4082082912 Reassigns benefits to 1 organization
I20260218000351 SC Practitioner - Marriage and Family Therapist 4082082912 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2005
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

11990 Portland Ave
Burnsville, MN 55337-1516

201 S 11TH St
Unit 530
Minneapolis, MN 55403-2545

222 W Coleman Blvd
Suite 82
Mount Pleasant, SC 29464-3490

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
1971MNMDMarriage & Family Therapist
7928SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Stillwater Counseling Services CurrentSince Jan 4, 2026 Accepting new patients
Ashlee Secord Ma LMFT Current Accepting new patients
Ashlee Secord Marriage & Family Therapist CurrentSince Jan 22, 2010 Accepting new patients

Locations

11990 Portland Ave
Burnsville, MN 55337
Phone (612) 439-1100

150 E Main St
Harleyville, SC 29448
Phone (843) 214-2955

222 W Coleman Blvd
#82
Mount Pleasant, SC 29464

Organizations & group practices 3

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": "1228176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1659516888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11990 PORTLAND AVE",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553371516",
            "telephone_number": "612-568-6050",
            "fax_number": "952-479-7896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11990 PORTLAND AVE",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553371516",
            "telephone_number": "612-568-6050",
            "fax_number": "952-479-7896"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "190 S River Ridge Cir",
            "address_2": "Suite # 208",
            "address_purpose": "LOCATION",
            "city": "Burnsville",
            "state": "MN",
            "postal_code": "553371627",
            "country_code": "US",
            "telephone_number": "612-568-6050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SECORD",
        "first_name": "ASHLEE",
        "middle_name": "NOEL",
        "credential": "M.A., LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-02",
        "last_updated": "2022-06-29",
        "certification_date": "2022-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "1971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burnsville, MN

Sources for this page

Verify at the official NPI Registry.