Active NPI
Ashley N. Clark
- Addiction (Substance Use Disorder) Counselor
- Sacramento, CA
National Provider Identifier
1902446172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 4343 Williamsbourgh Dr
Sacramento, CA 95823-2006 - Phone
- (916) 395-3225
- NPI assigned
- Jan 15, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary |
Addresses
Primary practice location
4343 Williamsbourgh Dr
Sacramento, CA 95823-2006
Mailing address
809 Bidwell St Apt 311
Folsom, CA 95630-3063
Phone (916) 598-2501
Other practice location 1
809 Bidwell St Apt 311
Folsom, CA 95630-3063
Phone (916) 598-2501
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12345 | Other | CA | STUDENT |
Electronic endpoints 6
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | InterCoastCollege | Direct | |
| Other URL | InterCoastCollege | Direct | |
| Other URL | InterCoastCollege | Direct | |
| Other URL | InterCoastCollege | Other | |
| Other URL | InterCoastCollege | Direct | |
| Other URL | InterCoastCollege | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604966400000",
"number": "1902446172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "809 BIDWELL ST APT 311",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956303063",
"telephone_number": "916-598-2501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4343 WILLIAMSBOURGH DR",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958232006",
"telephone_number": "916-395-3225"
}
],
"practiceLocations": [
{
"address_1": "809 Bidwell St Apt 311",
"address_purpose": "LOCATION",
"city": "Folsom",
"state": "CA",
"postal_code": "956303063",
"country_code": "US",
"telephone_number": "916-598-2501",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CLARK",
"first_name": "ASHLEY",
"middle_name": "N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-15",
"last_updated": "2020-11-10",
"certification_date": "2020-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STUDENT",
"identifier": "12345",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "InterCoastCollege",
"affiliation": "N",
"endpointDescription": "College",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "InterCoastCollege",
"address_1": "809 Bidwell St Apt 311",
"city": "Folsom",
"state": "CA",
"country_code": "US",
"postal_code": "956303063",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "InterCoastCollege",
"affiliation": "N",
"endpointDescription": "College",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "InterCoastCollege",
"address_1": "809 Bidwell St Apt 311",
"city": "Folsom",
"state": "CA",
"country_code": "US",
"postal_code": "956303063",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "InterCoastCollege",
"affiliation": "N",
"endpointDescription": "College",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "InterCoastCollege",
"address_1": "809 Bidwell St Apt 311",
"city": "Folsom",
"state": "CA",
"country_code": "US",
"postal_code": "956303063",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "InterCoastCollege",
"affiliation": "N",
"endpointDescription": "College",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "InterCoastCollege",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "College",
"address_1": "809 Bidwell St Apt 311",
"city": "Folsom",
"state": "CA",
"country_code": "US",
"postal_code": "956303063",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "InterCoastCollege",
"affiliation": "N",
"endpointDescription": "College",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "InterCoastCollege",
"address_1": "809 Bidwell St Apt 311",
"city": "Folsom",
"state": "CA",
"country_code": "US",
"postal_code": "956303063",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "InterCoastCollege",
"affiliation": "N",
"endpointDescription": "College",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "InterCoastCollege",
"address_1": "809 Bidwell St Apt 311",
"city": "Folsom",
"state": "CA",
"country_code": "US",
"postal_code": "956303063",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.