Ashlyn Boggs, MHP
Individual provider Active NPI Counselor · Galesburg, IL
NPI 1831667930 · NPPES record last updated Nov 6, 2018
Key facts
- NPI
- 1831667930
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 2323 Windish Dr
Galesburg, IL 61401-9780 - Phone
- (309) 344-2323
- Fax
- (309) 344-4281
- NPI assigned
- Nov 6, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
2323 Windish Dr
Galesburg, IL 61401-9780
Mailing address
2323 Windish Dr
Galesburg, IL 61401-9780
Phone (309) 344-2323
Other providers in Galesburg, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 6, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.