Ashland Lifeline, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

ASHLAND LIFELINE, LLC

Practice address

432 Center St
Ashland, OH 44805-3247

Phone

(419) 289-8100

NPI assigned

Feb 16, 2022

Last updated

Feb 16, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tammy M. White, LPCC-SNPI 1982829958

Title

President/Owner

Phone

(419) 651-9984

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tammy M White, LPCC

  • Professional Counselor
  • Ashland, OH
  • NPI 1982829958

  Mental Health

  NPD Authorized official
• Diane Sprague Park, LSW

  • Social Worker
  • Ashland, OH
  • NPI 1477903888
  NPD (past)

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

{
    "created_epoch": "1644969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644969600000",
    "number": "1902551096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 STATE ROUTE 58",
            "city": "ASHLAND",
            "state": "OH",
            "postal_code": "448059541",
            "telephone_number": "419-651-9984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "432 CENTER ST",
            "city": "ASHLAND",
            "state": "OH",
            "postal_code": "448053247",
            "telephone_number": "419-289-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHLAND LIFELINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-16",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "419-651-9984",
        "authorized_official_credential": "LPCC-S"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Ashland, OH
• Providers in Ashland, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.