Ashley K Matsumoto

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

T-22-1500 Issued in OR

Practice address

185 N 4TH St
Saint Helens, OR 97051-1535

Phone

(503) 366-4540

NPI assigned

Mar 23, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1647993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647993600000",
    "number": "1699424762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 GREY CLIFFS CT",
            "city": "SAINT HELENS",
            "state": "OR",
            "postal_code": "970511038",
            "telephone_number": "971-225-8061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 N 4TH ST",
            "city": "SAINT HELENS",
            "state": "OR",
            "postal_code": "970511535",
            "telephone_number": "503-366-4540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATSUMOTO",
        "first_name": "ASHLEY",
        "middle_name": "K",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-23",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "T-22-1500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Helen Martin, LCSW
• Leslie N. Martin, B.A.
• Jose Angel Martinez Estrada
• Jerry Domenick Martini Jr.
• Racheal Yvonne Matlock, RN
• Emily Matthews
• Jacquelyn Ann Matthews, MS, CCC-SLP
• Elisa Jane Mattice, B.S., L.M.T.
• Mavericks Beach, LLC
• Jeanne Marie May, LCSW

• Addiction (Substance Use Disorder) Counselor in Saint Helens, OR
• Providers in Saint Helens, OR by specialty
• Addiction (Substance Use Disorder) Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.