Ashley R. Wisdom, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2023041088 Issued in MO

Practice address

851 E 5TH St Ste 308
Washington, MO 63090-3130

Phone

(636) 432-5500

NPI assigned

Oct 11, 2023

Last updated

Dec 17, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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

Specialty

Mental Health Counselor

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Psychological and Behavioral Consultants LLCGroup PAC ID 0446243760, 595 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Psychological & Behavioral Consultants, LLC

  dba LifeStance Health

  • Psychiatry Physician
  • Beachwood, OH
  • NPI 1811915713

  Mental Health, MO

  Medicare reassignment Care Compare group NPD
• Kids' Harbor, Inc.

  dba Kids' Harbor Too

  • Voluntary or Charitable Agency
  • Osage Beach, MO
  • NPI 1427038876
  NPD (past)
• Kids' Harbor, Inc.

  dba Kids' Harbor Too

  • Voluntary or Charitable Agency
  • Saint Robert, MO
  • NPI 1841261799
  NPD (past)

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

{
    "created_epoch": "1696982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1790566248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 E 5TH ST STE 308",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630903130",
            "telephone_number": "636-432-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 E 5TH ST STE 308",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630903130",
            "telephone_number": "636-432-5500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5717 Chapel Dr",
            "address_purpose": "LOCATION",
            "city": "Osage Beach",
            "state": "MO",
            "postal_code": "650653049",
            "country_code": "US",
            "telephone_number": "573-348-6886 x1010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WISDOM",
        "first_name": "ASHLEY",
        "middle_name": "R.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-11",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2023041088",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2023041088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christin Chanel Wilkinson, MD
• Jane Ellen Williams, BACHELORS OF SCIENCE
• Emmalee Willimann, PTA
• Lisa Ruth Wilson, AGNP
• Colleen Marie Wingate, DO
• Megan Rochelle Wood, PMHNP
• Michael Leonard Wood, MD
• Alissa Wooden, RD
• Makenzie Yaroch, OT
• Victoria L Yenzer, NP

• Professional Counselor in Washington, MO
• Providers in Washington, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.