Individual provider Active NPI

Ashley Lynn Thiboutot, LMHC

  • Mental Health Counselor
  • Orange, MA
National Provider Identifier
1902416431
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
10001669 Issued in MA
Practice address
42 Butterworth Rd
Orange, MA 01364-9604
Phone
(508) 925-0430
Fax
(774) 389-1716
NPI assigned
Aug 10, 2020
Last updated
Jul 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 10001669 MA Primary

Addresses

Primary practice location

42 Butterworth Rd
Orange, MA 01364-9604

Mailing address

42 Butterworth Rd
Orange, MA 01364-9604
Phone (508) 925-0430

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20240215003457 MA Practitioner - Mental Health Counselor 0143664383 Practice locations: Orange, MA

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

42 Butterworth Rd
Orange, MA 01364-9604
Phone (508) 925-0430

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10001669MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ashley Thiboutot, LMHC,LLC Mental Health CurrentSince Apr 6, 2025 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1597017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1902416431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 BUTTERWORTH RD",
            "city": "ORANGE",
            "state": "MA",
            "postal_code": "013649604",
            "telephone_number": "508-925-0430",
            "fax_number": "774-389-1716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 BUTTERWORTH RD",
            "city": "ORANGE",
            "state": "MA",
            "postal_code": "013649604",
            "telephone_number": "508-925-0430",
            "fax_number": "774-389-1716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIBOUTOT",
        "first_name": "ASHLEY",
        "middle_name": "LYNN",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-10",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "10001669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, MA

Sources for this page

Verify at the official NPI Registry.