Individual provider Active NPI

Ashlee Nicole Bradshaw, LMHC

  • Mental Health Counselor
  • Spokane, WA
National Provider Identifier
1972057172
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH 60564138 Issued in WA
Practice address
1212 N Washington St Ste 327
Spokane, WA 99201-2403
Phone
(509) 505-4567
Fax
(509) 505-4115
NPI assigned
Aug 5, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 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 LH 60564138 WA Primary

Addresses

Primary practice location

1212 N Washington St Ste 327
Spokane, WA 99201-2403

Mailing address

1212 N Washington St Ste 327
Spokane, WA 99201-2403
Phone (509) 505-4567

Other names 1

  • Miss Ashlee Nicole Lupfer Former name

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

State licenses

LicenseStateTypeSpecialty
LH 60564138WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Minds PLLC Mental Health CurrentSince Jan 28, 2024 Accepting new patients
Paul J Domitor and Associates Past Accepting new patients

Locations

1212 N Washington St
Ste 327
Spokane, WA 99201
Phone (509) 505-4567

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.

NPI Registry JSON

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

{
    "created_epoch": "1470355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1972057172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 N WASHINGTON ST STE 327",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992012403",
            "telephone_number": "509-505-4567",
            "fax_number": "509-505-4115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 N WASHINGTON ST STE 327",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992012403",
            "telephone_number": "509-505-4567",
            "fax_number": "509-505-4115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADSHAW",
        "first_name": "ASHLEE",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-05",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH 60564138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEE",
            "last_name": "LUPFER",
            "middle_name": "NICOLE",
            "prefix": "MISS",
            "credential": "LMHC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; 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.