Individual provider Active NPI

Ashley Rae Roberts Mitchell, LPCC

  • Mental Health Counselor
  • Apple Valley, MN
National Provider Identifier
1679020697
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
00980 Issued in MN
Practice address
14665 Galaxie Ave Ste 140
Apple Valley, MN 55124-4509
Phone
(651) 456-8494
NPI assigned
Sep 7, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 00980 MN Primary

Addresses

Primary practice location

14665 Galaxie Ave Ste 140
Apple Valley, MN 55124-4509

Mailing address

14665 Galaxie Ave Ste 140
Apple Valley, MN 55124-4509
Phone (651) 456-8494

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240219001462 MN Practitioner - Mental Health Counselor 5597109538 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00980MNMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Iris Mental Health, LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

14665 Galaxie Ave
Ste 140
Apple Valley, MN 55124
Phone (651) 456-8494

14665 Galaxie Ave
Ste 130
Apple Valley, MN 55124
Phone (651) 456-8494

101 W Burnsville Pkwy
Ste 207
Burnsville, MN 55337
Phone (612) 548-4266

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": "1473206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1679020697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14665 GALAXIE AVE STE 140",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551244509",
            "telephone_number": "651-456-8494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14665 GALAXIE AVE STE 140",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551244509",
            "telephone_number": "651-456-8494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "ASHLEY",
        "middle_name": "RAE ROBERTS",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-07",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "00980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, MN

Sources for this page

Verify at the official NPI Registry.