Individual provider Active NPI

Aaron Michael Ashworth, MA, LPC, CMIII

  • Professional Counselor
  • Tulsa, OK
National Provider Identifier
1710344775
Registry record updated Feb 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
7016 Issued in OK
Practice address
8211 E Regal PL Ste 100
Tulsa, OK 74133-7181
Phone
(918) 557-8789
NPI assigned
Jan 21, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2020

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Pastoral Counselor 101YP1600X
Case Manager/Care Coordinator 171M00000X
Mental Health Counselor 101YM0800X
Prevention Professional 405300000X 7016 OK
Professional Counselor 101YP2500X 7016 OK Primary

Addresses

Primary practice location

8211 E Regal PL Ste 100
Tulsa, OK 74133-7181

Mailing address

1812 W Phoenix PL
Broken Arrow, OK 74011-1624
Phone (918) 557-8789

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
7016OKMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Venture Ministries, Inc Professional CurrentSince Jan 1, 2022 Accepting new patients

Locations

3631 S Elm Pl
Ste 804
Broken Arrow, OK 74011
Phone (918) 486-9255

8211 E Regal Pl
Ste 100
Tulsa, OK 74133
Phone (855) 434-7733

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": "1453334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582243200000",
    "number": "1710344775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 W PHOENIX PL",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740111624",
            "telephone_number": "918-557-8789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8211 E REGAL PL STE 100",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741337181",
            "telephone_number": "918-557-8789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASHWORTH",
        "first_name": "AARON",
        "middle_name": "MICHAEL",
        "credential": "MA, LPC, CMIII",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-01-21",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "405300000X",
            "taxonomy_group": "",
            "desc": "Prevention Professional",
            "state": "OK",
            "license": "7016",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "7016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; 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.