Individual provider Active NPI

Ashley Kemp, LPC

  • Professional Counselor
  • Spartanburg, SC
National Provider Identifier
1699052217
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6343 Issued in SC
Practice address
707 E Main St
Spartanburg, SC 29302-1281
Phone
(864) 345-7454
Fax
(864) 309-0919
NPI assigned
Nov 10, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X CC7194 ME
Professional Counselor 101YP2500X 6343 SC Primary
Professional Counselor 101YP2500X LPC.0019622 CO

Addresses

Primary practice location

707 E Main St
Spartanburg, SC 29302-1281

Mailing address

707 E Main St
Spartanburg, SC 29302-1281
Phone (864) 345-7454

Other names 1

  • Ashley Reynolds Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20240430000225 SC Practitioner - Mental Health Counselor 7416397062 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

304 Laurel Oak CT
Spartanburg, SC 29306-6626
Phone (864) 345-7454

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC.0019622COMDProfessional Counselor
CC7194MEMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ashley Kemp Counseling, LLC CurrentSince Feb 12, 2024 Accepting new patients
Ashley Kemp Counseling, LLC Current Accepting new patients
Clayton Mhddad Past Accepting new patients

Locations

707 E Main St
Spartanburg, SC 29302
Phone (864) 345-7454

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, 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": "1320883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1699052217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 E MAIN ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293021281",
            "telephone_number": "864-345-7454",
            "fax_number": "864-309-0919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 E MAIN ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293021281",
            "telephone_number": "864-345-7454",
            "fax_number": "864-309-0919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMP",
        "first_name": "ASHLEY",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-10",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ME",
            "license": "CC7194",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "6343",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0019622",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "REYNOLDS",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Spartanburg, SC

Sources for this page

Verify at the official NPI Registry.