Ashley Medora Le Grange, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH12264 Issued in FL

Practice address

1801 SE Hillmoor Dr
Port St Lucie, FL 34952-7553

Phone

(772) 204-2895

NPI assigned

Jul 19, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1500422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500422400000",
    "number": "1851814008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3793 SW PHEASANT RUN",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349902581",
            "telephone_number": "772-263-3974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 SE HILLMOOR DR",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349527553",
            "telephone_number": "772-204-2895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE GRANGE",
        "first_name": "ASHLEY",
        "middle_name": "MEDORA",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-19",
        "last_updated": "2017-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH12264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMHC",
            "identifier": "MH12664",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karisa Ann Lawrence, PHARMD
• Marjorie Lawrence
• Andrease Dayone Laws, OTR
• Sally Yvonne Lawson
• Jeffrey J Lazarus, M.D.
• Tracie Tram Le, DMD
• Vien T Le, M.D.
• Allison Leach, DC
• Andrew Leach, DC
• Leaders Behavior ABA & Counseling, LLC

• Mental Health Counselor in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.