Individual provider Active NPI

Ashley Suzanne Pickard, LMFT, PMT

  • Marriage & Family Therapist
  • Tallahassee, FL
National Provider Identifier
1790119873
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
111985 Issued in CA
Practice address
325 John Knox Road
BLDG. T, Suite 1
Tallahassee, FL 32303
Phone
(916) 234-6656
NPI assigned
Aug 26, 2013
Last updated
Jan 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 111985 CA Primary

Addresses

Primary practice location

325 John Knox Road
BLDG. T, Suite 1
Tallahassee, FL 32303

Mailing address

325 John Knox Road
BLDG. T, Suite 1
Tallahassee, FL 32303-4543
Phone (408) 482-0188

Other identifiers 1

IdentifierTypeStateIssuer
PMT-259OtherFLPROVISIONAL MARRIAGE AND FAMILY THERAPIST LICENSEE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ashley@discoveringpeacewithin.com

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

NPI Registry JSON

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

{
    "created_epoch": "1377475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1790119873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 JOHN KNOX ROAD",
            "address_2": "BLDG. T, SUITE 1",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323034543",
            "telephone_number": "408-482-0188",
            "fax_number": "408-482-0188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 JOHN KNOX ROAD",
            "address_2": "BLDG. T, SUITE 1",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "32303",
            "telephone_number": "916-234-6656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICKARD",
        "first_name": "ASHLEY",
        "middle_name": "SUZANNE",
        "credential": "LMFT, PMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-26",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "111985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVISIONAL MARRIAGE AND FAMILY THERAPIST LICENSEE",
            "identifier": "PMT-259",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ashley@discoveringpeacewithin.com",
            "affiliation": "N",
            "address_1": "914 Railroad Ave # 23",
            "city": "Tallahassee",
            "state": "FL",
            "country_code": "US",
            "postal_code": "323104348",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; 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.