Ashlan Vincent

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A16802 Issued in NC

Practice address

903 Northeast Dr Ste 201
Davidson, NC 28036-7438

Phone

(704) 896-7776

NPI assigned

Jul 25, 2021

Last updated

Jul 25, 2021By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Castle Counseling

  • Mental Health Counselor
  • Cornelius, NC
  • NPI 1235849357
  NPD (past)
• Southlake Center for Self Discovery

  • Clinical Social Worker
  • Davidson, NC
  • NPI 1366656910
  NPD (past)
• Southlake Counseling & Consulting

  • Clinical Social Worker
  • Davidson, NC
  • NPI 1194864975
  NPD (past)

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

{
    "created_epoch": "1627171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627171200000",
    "number": "1932872173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 ASSEMBLY DR UNIT 108",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281175446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 NORTHEAST DR STE 201",
            "city": "DAVIDSON",
            "state": "NC",
            "postal_code": "280367438",
            "telephone_number": "704-896-7776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINCENT",
        "first_name": "ASHLAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-25",
        "last_updated": "2021-07-25",
        "certification_date": "2021-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A16802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• University Eye Associates, OD PA
• Upward Therapy
• Madeline Ustanik
• McKenna Vaudrin
• Holly Vermillion, NP
• Gerry Lee Waddle Jr.
• Elizabeth Ashley Wallace, PHARMD
• Karyn De'Nean Wallace
• Ifeanyi Sharon Walson, DO
• Michelle Luette Wands, NP

• Mental Health Counselor in Davidson, NC
• Providers in Davidson, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2021; 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.