ASHLEY HOLCMAN (NPI# 1134599087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134599087 |
| Entity Type | Individual |
| Full Name | ASHLEY HOLCMAN |
| Credential | LCPC |
| Practice Address |
406 S Gosse Blvd Gateway Services, Inc Princeton IL 61356-0535 |
| Mailing Address |
2176 N State Route 178 Tonica IL 61370-9778 |
| Practice Telephone | 8158754548 |
| Mailing Telephone | 8153261186 |
| Enumeration Date | 2015-10-05 |
| Last Update Date | 2017-06-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 180.011017 | IL | Behavioral Health & Social Service Providers |
| N | 101Y00000X | Counselor | 178.011259 | IL | Behavioral Health & Social Service Providers |
| Street Address |
406 S GOSSE BLVD GATEWAY SERVICES, INC |
| City | PRINCETON |
| State | IL |
| Zip Code | 61356-0535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164498689 | Shirley M Borys | Counselor | 406 S Gosse Blvd, Box 535, Princeton, IL 61356-1916 | 2006-02-24 |
| 1003287210 | Gateway Services, Inc | Day Training, Developmentally Disabled Services | 406 S Gosse Blvd, Princeton, IL 61356-1916 | 2015-10-14 |
| 1861570723 | Cindy Penzenik | Physical Therapist | 406 S Gosse Blvd, Princeton, IL 61356-1916 | 2006-11-01 |
| 1154419455 | Agnes M Smith | Speech-Language Pathologist | 406 S Gosse Blvd, Princeton, IL 61356-1916 | 2006-10-11 |
| 1245322759 | Renee L Carlson | Pediatrics | 406 S Gosse Blvd, Princeton, IL 61356-1916 | 2006-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548698558 | Shelley Gorenz | Counselor | 1009 S. Main St., Princeton, IL 61356 | 2013-10-30 |
| 1780016626 | Jennifer Phillips | Pharmacist | 610 N. Main St., Princeton, IL 61356 | 2013-08-02 |
| 1477848521 | Princeton Prompt Care LLC | Clinic/Center | 2128 North Main Street, Princeton, IL 61356 | 2011-06-16 |
| 1306014196 | Lifefit Physical Rehab, Ltd. | Clinic/Center | 1225 N. Sixth St., Princeton, IL 61356 | 2008-02-14 |
| 1568669778 | Hawthorne Inn Supportive Living Facility | Assisted Living Facility | 136 N. Sixth St., Princeton, IL 61356 | 2007-06-29 |
| 1720209240 | Michelle Lee Mortensen | Music Therapist | 816 S. First St., Princeton, IL 61356 | 2007-05-01 |
| 1073733465 | Jarred Allen Farrell | Chiropractor | 682 East Peru Street, Princeton, IL 61356 | 2007-04-26 |
| 1952488397 | Donald R Marion | Optometrist | 2 Park Avenue West, Princeton, IL 61356 | 2006-11-01 |
| 1427138247 | Bruce Waldo Shriver | Dentist | 422 E Peru St, Princeton, IL 61356 | 2006-10-16 |
| 1871689612 | Jason A Monroe | Dentist | 334 Backbone Rd East, Princeton, IL 61356 | 2006-10-05 |
| Find all providers in zip 61356 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487296117 | Dayna Lynn D'amico | Counselor | 213 Commons Way Ste 214, Princeton, NJ 08540-1508 | 2019-10-15 |
| 1881154862 | Beth L Way | Counselor | 20 Nassau St Ste 504, Princeton, NJ 08542-4505 | 2019-03-25 |
| 1760974646 | Nicole Ciccone | Counselor | 103 Carnegie Ctr Ste 120, Princeton, NJ 08540-6235 | 2018-06-05 |
| 1407344427 | Michael Lasser | Counselor | 205 S Jefferson St, Princeton, KY 42445-1905 | 2018-04-25 |
| 1801311097 | Michael E Miroux | Counselor | 526 S Bureau Valley Pkwy Ste B, Princeton, IL 61356-2066 | 2017-08-08 |
| 1316337066 | Viewsight, Inc. | Counselor | 1109 Antoinette Dr, Princeton, TX 75407-2808 | 2015-02-03 |
| 1730437336 | Antonia Jo Lynn Porter | Counselor | 109 Thorn St Ste B-3, Princeton, WV 24740 | 2012-08-29 |
| 1700095882 | New Horizons Psychological Associates Pllc | Counselor | 105 Gott Road, Princeton, WV 24740-2103 | 2007-05-22 |
| 1922126549 | Carol Lynn Hubbard | Counselor | Rr 2 Box 296a, Princeton, MO 64673-9462 | 2007-03-26 |
| 1306916150 | Barbara Lee Anderson | Counselor | 905 Mercer Street, Princeton, WV 24740-2909 | 2006-11-09 |
| Find all providers in PRINCETON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.