Individual provider Active NPI

Ashley Eckler Wilms, LMHC

  • Mental Health Counselor
  • Titusville, FL
National Provider Identifier
1770137184
Registry record updated Jul 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH13134 Issued in FL
Practice address
1850 S Deleon Ave
Titusville, FL 32780-7733
Phone
(321) 482-8520
NPI assigned
Jul 25, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH13134 FL Primary

Addresses

Primary practice location

1850 S Deleon Ave
Titusville, FL 32780-7733

Mailing address

1850 S Deleon Ave
Titusville, FL 32780-7733
Phone (321) 482-8520

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address awilms@devereux.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260526002396 FL Practitioner - Mental Health Counselor 6103396692 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Group practices
Dandelion Behavioral Health LLCGroup PAC ID 9739600685, 12 clinicians

Practice addresses (Care Compare)

3380 S Park Ave
Suite 9
Titusville, FL 32780-4582
Phone (941) 780-4268

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH13134FLMDMental Health Counselor

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1564012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564012800000",
    "number": "1770137184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 S DELEON AVE",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327807733",
            "telephone_number": "321-482-8520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 S DELEON AVE",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327807733",
            "telephone_number": "321-482-8520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILMS",
        "first_name": "ASHLEY",
        "middle_name": "ECKLER",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-25",
        "last_updated": "2019-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH13134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "awilms@devereux.org",
            "affiliation": "N",
            "address_1": "1850 S DeLeon Ave",
            "city": "Titusville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327807733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Titusville, FL

Sources for this page

Verify at the official NPI Registry.