Ashley Monique Wilson, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

P2006019 Issued in AR

Practice address

1813 Executive SQ
Jonesboro, AR 72401-6086

Phone

(870) 899-0884

NPI assigned

Jan 5, 2011

Last updated

Jan 8, 2024By 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 2

Addresses

Other names 1

• Ashley Monique Wilson Former name

Medicare fee-for-service enrollment

Enrolled in AR

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, 2016

Medicare assignment

May accept Medicare assignment

Group practices

Harmony Road LLCGroup PAC ID 8628444296, 3 clinicians

Arisa Health IncGroup PAC ID 2264853829, 65 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Harmony Road LLC

  • Community/Behavioral Health Agency
  • Jonesboro, AR
  • NPI 1124747746

  Professional

  Medicare reassignment Care Compare group NPD
• Arisa Health, Inc.

  • Community/Behavioral Health Agency
  • Springdale, AR
  • NPI 1437750411
  Medicare reassignment Care Compare group
• Families, Inc of Arkansas

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Jonesboro, AR
  • NPI 1770535569
  Medicare reassignment NPD
• Talkspace Provider Network Ak, PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New York, NY
  • NPI 1164299715

  AR

  Medicare reassignment
• Arisa Health, Inc.

  • Community/Behavioral Health Agency
  • Jonesboro, AR
  • NPI 1306532767
  NPD
• Arisa Health, Inc.

  • Family Medicine Physician
  • Jonesboro, AR
  • NPI 1760187413
  NPD
• Harmony Road LLC

  dba In Sync Counseling

  • Psychiatric/Mental Health Nurse Practitioner
  • Jonesboro, AR
  • NPI 1093428583
  NPD

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

{
    "created_epoch": "1294185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1891099834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 352",
            "city": "GUY",
            "state": "AR",
            "postal_code": "720610352",
            "telephone_number": "870-897-7023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1813 EXECUTIVE SQ",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724016086",
            "telephone_number": "870-899-0884"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3201 W Keiser",
            "address_purpose": "LOCATION",
            "city": "Osceola",
            "state": "AR",
            "postal_code": "723703467",
            "country_code": "US",
            "telephone_number": "870-622-0592",
            "fax_number": "870-622-0782",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "ASHLEY",
        "middle_name": "MONIQUE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-05",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P2006019",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "WILSON",
            "middle_name": "MONIQUE",
            "credential": "LAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bobby Lee Willis, MHPP
• Debra Jane Willis, LPC
• Brooke Willows, MD
• Andy Wills
• Alphonso Wilson
• Cade Malone Wilson, O.D.
• Chasyl Wilson
• Christie M Wilson, SLP
• Cynthia Wilson
• Erik A. Wilson, LPC

• Professional Counselor in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Professional Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; 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.