Individual provider Active NPI

Ashley Amber Bostwick, MS, ATR-P, LPC-IT

  • Professional Counselor
  • Madison, WI
National Provider Identifier
1710622642
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5314226 Issued in WI
Practice address
3101 Latham Dr
Madison, WI 53713-4613
Phone
(608) 286-1132
NPI assigned
May 4, 2022
Last updated
Feb 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Art Therapist 221700000X
Professional Counselor 101YP2500X 5314226 WI Primary

Addresses

Primary practice location

3101 Latham Dr
Madison, WI 53713-4613

Mailing address

3101 Latham Dr
Madison, WI 53713-4613
Phone (608) 286-1132

Other identifiers 1

IdentifierTypeStateIssuer
100244019MedicaidWI

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 Science

State licenses

LicenseStateTypeSpecialty
5314226WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Cognition, LLC Professional CurrentSince Mar 11, 2025 Accepting new patients

Locations

3101 Latham Dr
Madison, WI 53713
Phone (608) 286-1132

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, 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": "1651622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740700800000",
    "number": "1710622642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 LATHAM DR",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537134613",
            "telephone_number": "608-286-1132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 LATHAM DR",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537134613",
            "telephone_number": "608-286-1132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSTWICK",
        "first_name": "ASHLEY",
        "middle_name": "AMBER",
        "credential": "MS, ATR-P, LPC-IT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-04",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "5314226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100244019",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2025; 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.