Individual provider Active NPI

Ashley Crain, LPC

  • Professional Counselor
  • Monticello, IL
National Provider Identifier
1821584863
Registry record updated Jul 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
178.013959 Issued in IL
Practice address
1921 N Market St
Monticello, IL 61856-8144
Phone
(217) 762-5371
NPI assigned
Jul 2, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 178.013959 IL Primary

Addresses

Primary practice location

1921 N Market St
Monticello, IL 61856-8144

Mailing address

1921 N Market St
Monticello, IL 61856-8144

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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

Enrollment IDStateProvider typePAC IDDetails
I20240603000856 IL Practitioner - Mental Health Counselor 4486196722 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
May accept Medicare assignment
Group practices
McGill Counseling, LLCGroup PAC ID 1850706748, 5 clinicians

Practice addresses (Care Compare)

2506 Galen Dr
Suite 108
Champaign, IL 61821-7047
Phone (217) 531-2736

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
178.013959ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Two Roads Wellness Clinic, LLC CurrentSince May 20, 2024 Accepting new patients
McGill Counseling, LLC CurrentSince Nov 5, 2024 Accepting new patients
Two Roads Wellness Clinic, LLC CurrentSince May 20, 2024 Accepting new patients

Locations

2506 Galen Dr
Champaign, IL 61821
Phone (217) 722-9733

701 Devonshire Dr
Ste D1
Champaign, IL 61820
Phone (217) 305-4434

2506 Galen Dr
Ste 108
Champaign, IL 61821
Phone (217) 262-9508

3545 N Vermilion St
Danville, IL 61832
Phone (217) 442-8611

Organizations & group practices 3

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": "1530489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530489600000",
    "number": "1821584863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 N MARKET ST",
            "city": "MONTICELLO",
            "state": "IL",
            "postal_code": "618568144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 N MARKET ST",
            "city": "MONTICELLO",
            "state": "IL",
            "postal_code": "618568144",
            "telephone_number": "217-762-5371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAIN",
        "first_name": "ASHLEY",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-02",
        "last_updated": "2018-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.013959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monticello, IL

Sources for this page

Verify at the official NPI Registry.