Individual provider Active NPI

Ashley N. Klingelsmith, M.ED., PCC-S, IMFT-S

  • Mental Health Counselor
  • North Canton, OH
National Provider Identifier
1780835041
Registry record updated May 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E.0700438 Issued in OH
Practice address
1303 W Maple St Ste 102
North Canton, OH 44720-2858
Phone
(330) 705-3073
NPI assigned
Oct 6, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X F.1500026 OH
Mental Health Counselor 101YM0800X E.0700438 OH Primary

Addresses

Primary practice location

1303 W Maple St Ste 102
North Canton, OH 44720-2858

Mailing address

930 W Comet Rd
New Franklin, OH 44216-9601
Phone (330) 705-3073

Other practice location 1

401 W. Tuscarawas St.
501
Canton, OH 44702-1963
Phone (330) 840-1206

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
E.0700438OHMDMental Health Counselor
F.1500026OHMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Azalea Institute-Center for MFT & LPC Advancement, LLC Mental Health Current Accepting new patients

Locations

421 Graham Rd
Ste B
Cuyahoga Fls, OH 44221
Phone (330) 510-4900

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": "1223251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557878400000",
    "number": "1780835041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 W COMET RD",
            "city": "NEW FRANKLIN",
            "state": "OH",
            "postal_code": "442169601",
            "telephone_number": "330-705-3073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 W MAPLE ST STE 102",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447202858",
            "telephone_number": "330-705-3073"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 W. Tuscarawas St.",
            "address_2": "501",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "OH",
            "postal_code": "447021963",
            "country_code": "US",
            "telephone_number": "330-840-1206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLINGELSMITH",
        "first_name": "ASHLEY",
        "middle_name": "N.",
        "credential": "M.ED., PCC-S, IMFT-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-06",
        "last_updated": "2019-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OH",
            "license": "F.1500026",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.0700438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2019; 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.