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ASHLEY SPROTBERRY LAC
NPI 1902567746
Counselor - Professional in Phoenix, AZ

Active since January 04, 2022PECOS Enrolled
16620 N 40TH ST STE G1, PHOENIX, AZ 85032(602) 363-0629(480) 247-4179 Get Directions Write a Review

NPPES record last updated: January 4, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ashley Sprotberry Lac NPPES

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

ASHLEY SPROTBERRY LAC (NPI 1902567746) is an individual professional provider in Phoenix, Arizona, licensed in Arizona (LAC18949) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Phoenix, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1902567746
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameASHLEY SPROTBERRYCredential: LAC
Location Address16620 N 40TH ST STE G1Phoenix, AZ 85032-3351
Mailing Address16620 N 40th St Ste G1Phoenix, AZ 85032-3351 · (602) 363-0629 · Fax (480) 247-4179
Phone(602) 363-0629
Fax(480) 247-4179
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateJanuary 4, 2022
NPPES CertifiedJanuary 4, 2022
✔ NPI 1902567746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in AZ · LAC18949
16620 N 40TH ST STE G1, Phoenix, AZ 85032
Open in Google Maps ↗

Secondary Practice Location 1

Location 111022 S 51st St Ste 200Phoenix, AZ 85044-4307 · Phone (602) 363-0629 · Fax (480) 247-4179

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ashley Sprotberry Lac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID749749232
PECOS Enrollment IDI20260825003774
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.

Medicare Billing Reassignment

Medicare enrollment records show Ashley Sprotberry reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pelican Counseling Services, PLLC
1,952 mi
Mental Health
5154 FITZGERALD DR
Wilmington, NC 28405
  • Reassigned Medicare billing, North Carolina enrollment
  • 2 clinicians in this Medicare group
NPI 1578390829 (910) 367-5202

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 5

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

MS. KAREN MICHELE IMUS RD
Dietitian, Registered
16620 N 40TH ST STE G1
PHOENIX, AZ 85032
Maricopa County (602) 363-0629
JESSICA MICHELLE BRUBAKER LPC
Counselor (Professional)
16620 N 40TH ST STE G1
PHOENIX, AZ 85032
Maricopa County (602) 363-0629
TAYLOR ROIG LPC
Counselor (Professional)
16620 N 40TH ST STE G1
PHOENIX, AZ 85032
Maricopa County (602) 363-0629
LEAH LEVENGOOD LMSW
Social Worker (Clinical)
16620 N 40TH ST STE G1
PHOENIX, AZ 85032
Maricopa County (602) 363-0629
ERIC THISS MA, LPC, LCMHC
Counselor (Mental Health)
16620 N 40TH ST STE G1
PHOENIX, AZ 85032
Maricopa County (602) 363-0629

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 Sprotberry's NPI number?

The NPI number for Ashley Sprotberry is 1902567746. It was assigned to this individual provider in the NPPES registry on January 4, 2022.

Where is Ashley Sprotberry located?

Ashley Sprotberry practices at 16620 N 40th St Ste G1, Phoenix, AZ 85032. The listed phone number is (602) 363-0629.

What is Ashley Sprotberry's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Ashley Sprotberry enrolled in Medicare?

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

Which organization bills Medicare for Ashley Sprotberry's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ashley Sprotberry reassigns Medicare benefits to Pelican Counseling Services, PLLC (Wilmington, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ashley Sprotberry's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ashley Sprotberry accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 2 other insurers list Ashley Sprotberry 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 Sprotberry was last updated on January 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.