Active NPI
Ashley Brown, LSW
- Mental Health Counselor
- Fox Lake, IL
National Provider Identifier
1942017439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 150.107814
- Practice address
- 34 W Grand Ave Ste 101
Fox Lake, IL 60020-1224 - Phone
- (847) 322-2975
- NPI assigned
- Dec 17, 2024
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 150.107814 | IL | Primary |
Addresses
Primary practice location
34 W Grand Ave Ste 101
Fox Lake, IL 60020-1224
Mailing address
34 W Grand Ave Ste 101
Fox Lake, IL 60020-1224
Phone (847) 322-2975
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250710001905 | IL | Practitioner - Clinical Social Worker | 7315451309 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sheffer Psychological Services, PLLC | Current | Accepting new patients | |
| Bailey Behavioral Health, PLLC | Current | Accepting new patients |
Locations
34 W Grand Ave
Ste 101
Fox Lake, IL 60020
Phone (847) 322-3975
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Psychologist
- Libertyville, IL
- NPI 1952809535
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734739200000",
"number": "1942017439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34 W GRAND AVE STE 101",
"city": "FOX LAKE",
"state": "IL",
"postal_code": "600201224",
"telephone_number": "847-322-2975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34 W GRAND AVE STE 101",
"city": "FOX LAKE",
"state": "IL",
"postal_code": "600201224",
"telephone_number": "847-322-2975"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "ASHLEY",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-12-17",
"last_updated": "2024-12-21",
"certification_date": "2024-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "150.107814",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fox Lake, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2024; 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.