Individual provider Active NPI

Ashley Gonzales, LPC

  • Professional Counselor
  • Colorado Springs, CO
National Provider Identifier
1841880168
Registry record updated Jun 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC.0019121 Issued in CO
Practice address
1283 Kelly Johnson Blvd Ste 100
Colorado Springs, CO 80920-3925
Phone
(719) 452-4803
NPI assigned
Jan 20, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPCC.0018087 CO
Counselor 101Y00000X LPCC.0018087 CO
Professional Counselor 101YP2500X LPC.0019121 CO Primary

Addresses

Primary practice location

1283 Kelly Johnson Blvd Ste 100
Colorado Springs, CO 80920-3925

Mailing address

8053 Potomac Dr
Colorado Springs, CO 80920-7064
Phone (719) 650-1380

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20240219000651 CO Practitioner - Mental Health Counselor 5496104515 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mayfield Counseling CentersGroup PAC ID 9739427352, 9 clinicians

Practice addresses (Care Compare)

1283 Kelly Johnson Blvd
Colorado Springs, CO 80920-3925
Phone (719) 452-4803

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC.0019121COMDProfessional Counselor
LPCC.0018087COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mayfield Counseling Centers CurrentSince Jan 1, 2024 Accepting new patients

Locations

1283 Kelly Johnson Blvd
Ste 100
Colorado Springs, CO 80920
Phone (719) 452-4801

6180 Lehman Dr
Ste 100
Colorado Springs, CO 80918
Phone (719) 357-6031

1283 Kelly Johnson Blvd
Colorado Springs, CO 80920
Phone (719) 413-6776

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": "1611100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1841880168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8053 POTOMAC DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809207064",
            "telephone_number": "719-650-1380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1283 KELLY JOHNSON BLVD STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809203925",
            "telephone_number": "719-452-4803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "ASHLEY",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-20",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPCC.0018087",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CO",
            "license": "LPCC.0018087",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0019121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.