Individual provider Active NPI

Ashley Elizabeth Emmons, LCMHC

  • Mental Health Counselor
  • Raleigh, NC
National Provider Identifier
1790323285
Registry record updated Oct 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
13497 Issued in NC
Practice address
213 E Cabarrus St
Raleigh, NC 27601-1833
Phone
(919) 600-7766
NPI assigned
Dec 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 13497 NC Primary
Rehabilitation Counselor 225C00000X 279718 NC

Addresses

Primary practice location

213 E Cabarrus St
Raleigh, NC 27601-1833

Mailing address

213 E Cabarrus St
Raleigh, NC 27601-1833
Phone (919) 600-7766

Other practice location 1

921 Town Centre Blvd # 1073
Clayton, NC 27520-2181
Phone (919) 600-7766

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 19, 2024 through Feb 19, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
13497NCMDPharmacist
279718NCMDRehabilitation Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cultivate Mental Wellness PLLC CurrentSince Oct 29, 2023 Accepting new patients

Locations

921 Town Centre Blvd
Clayton, NC 27520
Phone (252) 327-8151

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": "1576368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697932800000",
    "number": "1790323285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 E CABARRUS ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276011833",
            "telephone_number": "919-600-7766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 E CABARRUS ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276011833",
            "telephone_number": "919-600-7766"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "921 Town Centre Blvd # 1073",
            "address_purpose": "LOCATION",
            "city": "Clayton",
            "state": "NC",
            "postal_code": "275202181",
            "country_code": "US",
            "telephone_number": "919-600-7766",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EMMONS",
        "first_name": "ASHLEY",
        "middle_name": "ELIZABETH",
        "credential": "LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-15",
        "last_updated": "2023-10-22",
        "certification_date": "2023-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "13497",
            "primary": true
        },
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": "NC",
            "license": "279718",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.