Ashely Surber, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

80572 Issued in TX

Practice address

6502 Nursery Dr.
Suite 100
Victoria, TX 77904

Phone

(361) 575-0611

Fax

(361) 579-6913

NPI assigned

Aug 21, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ashley Surber Other name

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Mental Health Counselor

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gulf Bend Mental Health Mental Retardation CenterGroup PAC ID 8628059631, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Gulf Bend Mental Health Mental Retardation Center

  dba Gulf Bend Center

  • Professional Counselor
  • Victoria, TX
  • NPI 1467434399
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1597968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618444800000",
    "number": "1851903793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6502 NURSERY DR.",
            "address_2": "SUITE 100",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "77904",
            "telephone_number": "361-575-0611",
            "fax_number": "361-579-6913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6502 NURSERY DR.",
            "address_2": "SUITE 100",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "77904",
            "telephone_number": "361-575-0611",
            "fax_number": "361-579-6913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURBER",
        "first_name": "ASHELY",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-21",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "80572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "SURBER",
            "credential": "LPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mark James Sumbera, D.D.S.
• Sun Orthodontix of Victoria, PLLC
• Sun Orthodontix of Victoria, PLLC (Sun Orthodontix)
• Sundeep Lal PA
• Superior Access and Home Mods
• Bonnie Dee Surber
• Kori Sury, SLP
• Indrani Dorai Swami, M.D.
• John Harry Swannack, D.D.S.
• Marilyn Joyce Swannack, LPC

• Professional Counselor in Victoria, TX
• Providers in Victoria, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.