Ashlee S Wilson, LPCC

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

9545 Issued in CA

Practice address

1079 Calle Deceo
Chula Vista, CA 91913-3345

Phone

(763) 245-0390

NPI assigned

Apr 23, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• BLK Haven Corp.

  • Mental Health Counselor
  • Chula Vista, CA
  • NPI 1942936620
  NPD Authorized official
• BLK Haven Corp.

  • Mental Health Counselor
  • Lithia Springs, GA
  • NPI 1184322455
  NPD Authorized official

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

{
    "created_epoch": "1619136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619136000000",
    "number": "1760064323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1079 CALLE DECEO",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919133345",
            "telephone_number": "763-245-0390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1079 CALLE DECEO",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919133345",
            "telephone_number": "763-245-0390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "ASHLEE",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-23",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "CA",
            "license": "9545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Andrew Willoughby, M.D.
• Ashley April Wills
• Kylee Wilmarth
• Joseph Wilson Smith, RN
• Aaron Wilson
• Asrelea Nicole Wilson
• Chantal Marie Wilson, LMFT
• Elizabeth Ann Wilson, OTR
• Erika Wilson, OTD
• Estela Wilson, RN

• Counseling Psychologist in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Counseling Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2021; 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.