NPIMap

Patricia Ashlock, LMSW, LCAC

Individual provider Active NPI Mental Health Counselor · Wichita, KS

NPI 1801328307 · NPPES record last updated Apr 3, 2017

Key facts

NPI
1801328307
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
5536 (KS)
Practice address
9415 E Harry St
Suite 404
Wichita, KS 67207-5089
Phone
(316) 788-1664
Fax
(316) 788-1670
NPI assigned
Apr 3, 2017
Sex
Female
Sole proprietor
Yes

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
5536KSMDMental Health Counselor
259KSMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Solutions Addiction Management Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 259 KS
Mental Health Counselor 101YM0800X 5536 KS Yes

Addresses

Primary practice location

9415 E Harry St
Suite 404
Wichita, KS 67207-5089

Mailing address

9415 E Harry St
Suite 404
Wichita, KS 67207-5089
Phone (316) 788-1664

Other identifiers

IdentifierTypeStateIssuer
200623440AMedicaidKS

Other providers in Wichita, KS

All providers in Wichita, KS · Mental Health Counselor in Kansas

Sources for this page

Verify at the official NPI Registry.