Active NPI
Ashley Scalise
- Professional Counselor
- Los Angeles, CA
National Provider Identifier
1972071488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 13414
- Practice address
- 11500 W Olympic Blvd Ste 400
Los Angeles, CA 90064-1525 - Phone
- (747) 205-0896
- NPI assigned
- Nov 2, 2018
- Reactivated
- Aug 28, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Professional Counselor | 101YP2500X | 13414 | CA | Primary |
Addresses
Primary practice location
11500 W Olympic Blvd Ste 400
Los Angeles, CA 90064-1525
Mailing address
3034 Meadowstone Dr
Simi Valley, CA 93063-2170
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13414 | CA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693180800000",
"number": "1972071488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3034 MEADOWSTONE DR",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930632170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11500 W OLYMPIC BLVD STE 400",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900641525",
"telephone_number": "747-205-0896"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCALISE",
"first_name": "ASHLEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-02",
"last_updated": "2023-08-28",
"certification_date": "2023-08-28",
"deactivation_date": "2023-05-09",
"reactivation_date": "2023-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "13414",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.