Individual provider Active NPI

Ashley Walsh

  • Professional Counselor
  • Ann Arbor, MI
National Provider Identifier
1740683564
Registry record updated Apr 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401017644 Issued in MI
Practice address
2301 S Huron Pkwy Ste 1D
Ann Arbor, MI 48104-5133
Phone
(734) 219-9260
NPI assigned
Oct 7, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401017644 MI Primary
Professional Counselor 101YP2500X E. 1200475 OH

Addresses

Primary practice location

2301 S Huron Pkwy Ste 1D
Ann Arbor, MI 48104-5133

Mailing address

418 Westbrook
Whitmore Lake, MI 48189-8211

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
6401017644MIMDProfessional Counselor
E. 1200475OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Jennifer Tang PHD and Associates LLC CurrentSince May 1, 2022 Accepting new patients
Mark J Klein, DPM, PC PastSince May 1, 2022 Accepting new patients

Locations

2301 S Huron Pkwy
Ste 1D
Ann Arbor, MI 48104
Phone (586) 229-7812

Organizations & group practices 2

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": "1412640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651190400000",
    "number": "1740683564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 WESTBROOK",
            "city": "WHITMORE LAKE",
            "state": "MI",
            "postal_code": "481898211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 S HURON PKWY STE 1D",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481045133",
            "telephone_number": "734-219-9260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "ASHLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-07",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401017644",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E. 1200475",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.