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DR. ASHLEY KENNEDY IBBOTSON PHD
NPI 1508383589
Psychologist - Clinical in Mansfield, TX

Active since August 29, 2017PECOS EnrolledAccepts Medicare Assignment
604 STRADA CIR, MANSFIELD, TX 76063(817) 453-2400 Get Directions Write a Review

NPPES record last updated: May 2, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 2, 2024, Jul 21, 2022, Aug 29, 2017 (3 updates tracked since 2017).

About Dr. Ashley Kennedy Ibbotson Phd NPPES

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

DR. ASHLEY KENNEDY IBBOTSON PHD (NPI 1508383589) is an individual clinical provider in Mansfield, Texas, licensed in Texas (38123) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1508383589
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. ASHLEY KENNEDY IBBOTSONCredential: PHD
Location Address604 STRADA CIRMansfield, TX 76063-3201
Mailing Address604 Strada CirMansfield, TX 76063-3201 · (817) 453-2400
Phone(817) 453-2400
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateAugust 29, 2017
Last NPPES UpdateMay 2, 20243 updates tracked since enumeration
NPPES CertifiedMay 2, 2024
✔ NPI 1508383589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in TX · 38123
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
604 STRADA CIR, Mansfield, TX 76063
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Molina Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Ashley Kennedy Ibbotson Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2365883188
PECOS Enrollment IDI20240510002423
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76063 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$171.07 typical visit price
range $56.47 – $171.07
Typical copayment $42.76 (range $14.11 – $42.76)
Most-billed visit code 99205
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. ENJOLE DIONNE DELGADO MACC, LPC
Counselor (Professional)
604 STRADA CIR
MANSFIELD, TX 76063
Tarrant County (817) 453-2400
MRS. BRANDI ALEECE OWNBY M.S., LPC-S
Counselor (Professional)
604 STRADA CIR
MANSFIELD, TX 76063
Tarrant County (817) 453-2400
ANGELICA CAMPBELL LPC
Counselor (Mental Health)
604 STRADA CIR
MANSFIELD, TX 76063
Tarrant County (817) 453-2400
THE JONES CENTER FOR CHILDREN'S THERAPY AND ASSESSMENT
Psychologist (Clinical Child & Adolescent)
604 STRADA CIR
MANSFIELD, TX 76063
Tarrant County (817) 453-2400
MR. DAVID H CADE LPA
Psychologist
604 STRADA CIR
MANSFIELD, TX 76063
Tarrant County (817) 453-2400
MARIEMICHELLE BIGIRIMANA
Social Worker (Clinical)
604 STRADA CIR
MANSFIELD, TX 76063
Tarrant County (817) 453-2400
CANDICE DIAZ PHD
Psychologist
604 STRADA CIR
MANSFIELD, TX 76063
Tarrant County (817) 453-2400

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 Ibbotson's NPI number?

The NPI number for Ashley Ibbotson is 1508383589. It was assigned to this individual provider in the NPPES registry on August 29, 2017.

Where is Ashley Ibbotson located?

Ashley Ibbotson practices at 604 Strada Cir, Mansfield, TX 76063. The listed phone number is (817) 453-2400.

What is Ashley Ibbotson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Ashley Ibbotson enrolled in Medicare?

Yes. Ashley Ibbotson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Ashley Ibbotson accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Molina Healthcare, Oscar Insurance Company and UnitedHealthcare and 1 other insurer list Ashley Ibbotson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ashley Ibbotson was last updated on May 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.