Ashley Lynne Boonenberg, M.A.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

C7599 Issued in OR

Practice address

66 Club Road
Eugene, OR 97401-2599

Phone

(541) 343-1728

Fax

(855) 282-3544

NPI assigned

Apr 28, 2008

Reactivated

May 28, 2021

Last updated

Sep 29, 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 3

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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.

• Griffin & Associated Practitioners

  • Mental Health Counselor
  • Eugene, OR
  • NPI 1336678952
  Medicare reassignment

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695945600000",
    "number": "1891960142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 CLUB ROAD",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012599",
            "telephone_number": "541-343-1728",
            "fax_number": "855-282-3544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 CLUB ROAD",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012599",
            "telephone_number": "541-343-1728",
            "fax_number": "855-282-3544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOONENBERG",
        "first_name": "ASHLEY",
        "middle_name": "LYNNE",
        "name_prefix": "Ms.",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-28",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "deactivation_date": "2021-05-17",
        "reactivation_date": "2021-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C7599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Bongen
• Mariana Bonham
• Anne Maria Bonner
• Jocelyn Bonner, M.D.
• Raymond H Boone
• Dana Elizabeth Boonstra
• Kathleen June Bootes, QMHP
• Karen M Booth, RDID
• Lynn M Booth, LMFT
• Ahnya M Booze-Love, NP

• Professional Counselor in Eugene, OR
• Providers in Eugene, OR by specialty
• Professional Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.