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ASHLEY DAWN AMBURN LCPC
NPI 1043672512
Counselor in O Fallon, IL

Active since March 24, 2016PECOS Enrolled
938 EVAN DR, O FALLON, IL 62269(618) 531-9637 Get Directions Write a Review

NPPES record last updated: November 14, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 14, 2019, Mar 24, 2016 (2 updates tracked since 2016).

About Ashley Dawn Amburn Lcpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ASHLEY DAWN AMBURN LCPC (NPI 1043672512) is an individual counselor in O Fallon, Illinois, licensed in Illinois (180.010153) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043672512
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameASHLEY DAWN AMBURNCredential: LCPC
Location Address938 EVAN DRO Fallon, IL 62269-3471
Mailing Address938 Evan DrO Fallon, IL 62269-3471 · (618) 531-9637
Phone(618) 531-9637
Sole ProprietorYes
Enumeration DateMarch 24, 2016
Last NPPES UpdateNovember 14, 20192 updates tracked since enumeration
✔ NPI 1043672512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in IL · 180.010153
Definition
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 180.010153 (IL)
938 EVAN DR, O Fallon, IL 62269
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ashley Dawn Amburn Lcpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ashley Amburn's NPI number?

The NPI number for Ashley Amburn is 1043672512. It was assigned to this individual provider in the NPPES registry on March 24, 2016.

Where is Ashley Amburn located?

Ashley Amburn practices at 938 Evan Dr, O Fallon, IL 62269. The listed phone number is (618) 531-9637.

What is Ashley Amburn's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Ashley Amburn enrolled in Medicare?

Yes. Ashley Amburn is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ashley Amburn was last updated on November 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.