NPIMap

Individual provider Active NPI

Ashley C Nelson

  • Clinical Social Worker
  • Lake Butler, FL
National Provider Identifier
1710380373
Registry record updated Feb 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
10 W Main St
Lake Butler, FL 32054
Phone
(386) 496-2347
NPI assigned
Sep 26, 2014
Last updated
Feb 25, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X FL
Clinical Social Worker 1041C0700X Primary
Case Manager/Care Coordinator 171M00000X

Addresses

Primary practice location

10 W Main St
Lake Butler, FL 32054

Mailing address

10014 N Dale Mabry Hwy Ste C-100
Tampa, FL 33618-4426
Phone (813) 549-5866

Other practice location 1

10014 N Dale Mabry Hwy Ste C-100
Tampa, FL 33618-4426
Phone (813) 549-5866

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Www.progressustherapy.com

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

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Mental Health Current Accepting new patients
Meridian Behavioral Healthcare, Inc. PastSince Dec 1, 2019 Accepting new patients
Florida Department of Health Past Accepting new patients
Meridian Behavioral Healthcare, Inc. PastSince Dec 1, 2019 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ashleynelson@tdh.allscriptsdirect.net

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": "1411689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645747200000",
    "number": "1710380373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10014 N DALE MABRY HWY STE C-100",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336184426",
            "telephone_number": "813-549-5866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 W MAIN ST",
            "city": "LAKE BUTLER",
            "state": "FL",
            "postal_code": "32054",
            "telephone_number": "386-496-2347"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10014 N Dale Mabry Hwy Ste C-100",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336184426",
            "country_code": "US",
            "telephone_number": "813-549-5866",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "ASHLEY",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-26",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Www.progressustherapy.com",
            "affiliation": "N",
            "address_1": "10014 N Dale Mabry Hwy Ste C-100",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336184426",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lake Butler, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.