Individual provider Active NPI

Krystal Karin Ashling, L.C.S.W.

  • Clinical Social Worker
  • Beaverton, OR
National Provider Identifier
1740615848
Registry record updated Jun 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L1931 Issued in OR
Practice address
14155 SW 6TH St
Beaverton, OR 97005-3651
Phone
(503) 547-9845
Fax
(503) 296-5843
NPI assigned
Sep 8, 2013
Last updated
Jun 17, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X L1931SR OR
Clinical Social Worker 1041C0700X L1931 OR Primary

Addresses

Primary practice location

14155 SW 6TH St
Beaverton, OR 97005-3651

Mailing address

14155 SW 6TH St
Beaverton, OR 97005-3651
Phone (503) 547-9845

Other identifiers 2

IdentifierTypeStateIssuer
LW00005506OtherWAINSURANCE PANELS
L1931OtherOROREGON STATE BOARD OF CLINICAL SOCIAL WORKERS

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

State licenses

LicenseStateTypeSpecialty
L1931ORMDClinical Social Worker
L1931SRORMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1378598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655424000000",
    "number": "1740615848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14155 SW 6TH ST",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970053651",
            "telephone_number": "503-547-9845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14155 SW 6TH ST",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970053651",
            "telephone_number": "503-547-9845",
            "fax_number": "503-296-5843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASHLING",
        "first_name": "KRYSTAL",
        "middle_name": "KARIN",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-08",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L1931SR",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L1931",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INSURANCE PANELS",
            "identifier": "LW00005506",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON STATE BOARD OF CLINICAL SOCIAL WORKERS",
            "identifier": "L1931",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.