Active NPI
Ashley Allis
- Counselor
- Evanston, IL
National Provider Identifier
1669871133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 178008371
- Practice address
- 708 Church St
Suite 221
Evanston, IL 60201-3875 - Phone
- (262) 215-6506
- NPI assigned
- Aug 20, 2014
- Last updated
- Nov 30, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 178008371 | IL | Primary |
Addresses
Primary practice location
708 Church St
Suite 221
Evanston, IL 60201-3875
Mailing address
708 Church St
Suite 221
Evanston, IL 60201-3875
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 |
|---|---|---|---|
| 178008371 | IL | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ashley Allis LLC | Current | Accepting new patients |
Locations
708 Church St
Ste 221
Evanston, IL 60201
Phone (773) 209-2440
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Professional Counselor
- Evanston, IL
- NPI 1386009009
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480464000000",
"number": "1669871133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "708 CHURCH ST",
"address_2": "SUITE 221",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602013875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "708 CHURCH ST",
"address_2": "SUITE 221",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602013875",
"telephone_number": "262-215-6506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLIS",
"first_name": "ASHLEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-20",
"last_updated": "2016-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "IL",
"license": "178008371",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Evanston, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.