Ashley Kelley, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

188597 Issued in AK

Practice address

315 5TH Ave
Fairbanks, AK 99701-5025

Phone

(907) 374-7776

NPI assigned

Mar 22, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Ak Counseling Services

  • Professional Counselor
  • North Pole, AK
  • NPI 1689363269
  NPD Authorized official
• Turning Point LLC

  • Community/Behavioral Health Agency
  • Fairbanks, AK
  • NPI 1619108677
  NPD (past)

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

{
    "created_epoch": "1647907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647907200000",
    "number": "1861141145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3185 NATE CIR",
            "city": "NORTH POLE",
            "state": "AK",
            "postal_code": "997057357",
            "telephone_number": "928-607-4563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 5TH AVE",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997015025",
            "telephone_number": "907-374-7776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "ASHLEY",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-22",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "AK",
            "license": "188597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Misty Rose Keith
• Shawna R Keith
• Deborah Ann Kekoni
• Cary S Keller, M.D.
• Joy Keller, CDM
• Lamozae Kelley I
• Kimberly Ann Kelly, PH. D., MA, MED
• Larry Wayne Kelly Jr., PMHNP
• Myra Lynn Kelly, APRN
• Staysha Kelly

• Professional Counselor in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Professional Counselor in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2022; 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.