Individual provider Active NPI

Ashley Patton, CSAC, LPCIT

  • Addiction (Substance Use Disorder) Counselor
  • Appleton, WI
National Provider Identifier
1689153686
Registry record updated Aug 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
16252-132 Issued in WI
Practice address
1000 N Lynndale Dr Ste C
Appleton, WI 54914-3057
Phone
(920) 735-9010
Fax
(920) 735-9050
NPI assigned
Aug 9, 2018
Last updated
Aug 9, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 16252-132 WI Primary
Mental Health Counselor 101YM0800X 1988-226 WI

Addresses

Primary practice location

1000 N Lynndale Dr Ste C
Appleton, WI 54914-3057

Mailing address

1000 N Lynndale Dr Ste C
Appleton, WI 54914-3057
Phone (920) 735-9010

Other names 1

  • Ashley Dessort Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20240103002005 WI Practitioner - Mental Health Counselor 1951751916 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1988-226WIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Calumet County CurrentSince Jan 1, 2024 Accepting new patients
Calumet County CurrentSince Jan 1, 2024 Accepting new patients
Calumet County Addiction (Substance Use Disorder) Current Accepting new patients
Options Treatment Programs, Inc Past Accepting new patients

Locations

206 Court St
Chilton, WI 53014
Phone (920) 849-1400

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1533772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533772800000",
    "number": "1689153686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 N LYNNDALE DR STE C",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549143057",
            "telephone_number": "920-735-9010",
            "fax_number": "920-735-9050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N LYNNDALE DR STE C",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549143057",
            "telephone_number": "920-735-9010",
            "fax_number": "920-735-9050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTON",
        "first_name": "ASHLEY",
        "name_prefix": "Mrs.",
        "credential": "CSAC, LPCIT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-09",
        "last_updated": "2018-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "16252-132",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "1988-226",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "DESSORT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Appleton, WI

Sources for this page

Verify at the official NPI Registry.