Ashleigh Nicole Johnson
Individual provider Active NPI Professional Counselor · Baton Rouge, LA
NPI 1780168914 · NPPES record last updated Sep 17, 2024
Key facts
- NPI
- 1780168914
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 6894 (LA)
- Practice address
- 2255 79TH Ave
Baton Rouge, LA 70807-5534 - Phone
- (225) 892-4763
- NPI assigned
- Sep 24, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6894 | LA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| All Out Community Care Services, LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Professional Counselor | 101YP2500X | 6894 | LA | Yes |
Addresses
Primary practice location
2255 79TH Ave
Baton Rouge, LA 70807-5534
Mailing address
2255 79TH Ave
Baton Rouge, LA 70807-5534
Phone (225) 892-4763
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2145371 | Medicaid | LA |
Other providers in Baton Rouge, LA
- Angela Johnson
- Angela Corbino Johnson
- Anna Catherine Johnson
- Anna Nicolosi Johnson
- Anthony Johnson II
- Ashley Johnson
- Avis Johnson
- Belinda Monique Johnson
- Benny Johnson
- Brandi Johnson
All providers in Baton Rouge, LA · Professional Counselor in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 17, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.