Ashley Buckley

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

3550 Camino del Rio N Ste 305
San Diego, CA 92108-1740

Phone

(619) 756-4095

Fax

(619) 514-1026

NPI assigned

Oct 12, 2019

Last updated

Jul 17, 2023By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1570838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1861034746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 CAMINO DEL RIO N STE 305",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081740",
            "telephone_number": "619-756-4095",
            "fax_number": "619-514-1026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 CAMINO DEL RIO N STE 305",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081740",
            "telephone_number": "619-756-4095",
            "fax_number": "619-514-1026"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1202 Morena Blvd Ste 300",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921103844",
            "country_code": "US",
            "telephone_number": "619-275-0822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUCKLEY",
        "first_name": "ASHLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-12",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawanica Buckingham
• Tavis Scott Buckingham, IDC
• Victoria C. Buckland, NP
• Brandall Buck Buckles Jr.
• Allison Buckley, CNP
• Byron Jeffrey Buckley, M.D.
• Carol Buckley, LVN
• David D Buckley, PA
• David W Buckley, M.D.
• Erika Buckley

• Mental Health Counselor in San Diego, CA
• Providers in San Diego, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; 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.