Individual provider Active NPI

Ashley West Salone, LPC

  • Professional Counselor
  • Shreveport, LA
National Provider Identifier
1871966804
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6470 Issued in LA
Practice address
3004 Knight St
Shreveport, LA 71105-2502
Phone
(318) 227-8390
NPI assigned
Nov 13, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X
Professional Counselor 101YP2500X 6470 LA Primary

Addresses

Primary practice location

3004 Knight St
Shreveport, LA 71105-2502

Mailing address

11438 Lake Rd
Keithville, LA 71047-8374
Phone (318) 465-4419

Other practice location 1

11438 Lake Rd
Keithville, LA 71047-8374
Phone (318) 465-4419

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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

Enrollment IDStateProvider typePAC IDDetails
I20240205000273 LA Practitioner - Mental Health Counselor 3678916939 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11438 Lake Rd
Keithville, LA 71047-8374
Phone (318) 465-4419

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6470LAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
David Raines Community Health Center, Inc CurrentSince Jan 1, 2024 Accepting new patients
David Raines Community Health Center, Inc CurrentSince Jan 1, 2024 Accepting new patients
David Raines Community Health Center, Inc Current Accepting new patients
Tranquil Solutions LLC Mental Health CurrentSince May 14, 2024 Accepting new patients

Locations

12201 Mansfield Rd
Keithville, LA 71047
Phone (318) 364-2742

1625 David Raines Rd
Shreveport, LA 71107
Phone (318) 425-2252

3041 Dr Martin Luther King Dr
Shreveport, LA 71107
Phone (318) 227-3350

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1447372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1871966804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11438 LAKE RD",
            "city": "KEITHVILLE",
            "state": "LA",
            "postal_code": "710478374",
            "telephone_number": "318-465-4419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3004 KNIGHT ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711052502",
            "telephone_number": "318-227-8390"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11438 Lake Rd",
            "address_purpose": "LOCATION",
            "city": "Keithville",
            "state": "LA",
            "postal_code": "710478374",
            "country_code": "US",
            "telephone_number": "318-465-4419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALONE",
        "first_name": "ASHLEY",
        "middle_name": "WEST",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-13",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "6470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.