Ashley D. Slade, MA, R-DMT, NCC, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC011353 Issued in PA

Practice address

1777 Sentry Pkwy W Ste 300
Blue Bell, PA 19422-2211

Phone

(215) 767-7096

NPI assigned

May 7, 2019

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

Credentials

Master of Arts

State licenses

Practice roles

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.

• Optum Behavioral Care of Connecticut, P.C.

  • Clinical Social Worker
  • Providence, RI
  • NPI 1730972944
  NPD (past)
• Psychological Healthcare, PLLC

  • Professional Counselor
  • Syracuse, NY
  • NPI 1922109578
  NPD (past)

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

{
    "created_epoch": "1557187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680566400000",
    "number": "1861057705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MORGAN DR",
            "city": "ROYERSFORD",
            "state": "PA",
            "postal_code": "194681848",
            "telephone_number": "908-797-8153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 SENTRY PKWY W STE 300",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194222211",
            "telephone_number": "215-767-7096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLADE",
        "first_name": "ASHLEY",
        "middle_name": "D.",
        "credential": "MA, R-DMT, NCC, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-07",
        "last_updated": "2023-04-04",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC011353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Bruce Siegel, DMD
• Jessica Silverman
• Silverpath, Inc.
• Toyia Manlekia Simpkins, PHARMD
• Valerie Sklaney, OTR/L, RN
• Christian Smalley
• Erik C. Smith, MD
• Ira U Smith, MD
• Khadian Smith
• Laurance D Smith, MD

• Professional Counselor in Blue Bell, PA
• Providers in Blue Bell, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.