Active NPI
Ashley Rae Roberts Mitchell, LPCC
- Mental Health Counselor
- Apple Valley, MN
National Provider Identifier
1679020697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 00980
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240219001462 | MN | Practitioner - Mental Health Counselor | 5597109538 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00980 | MN | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iris Mental Health, LLC | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.