Provider Demographics
NPI:1295001071
Name:WARD, JAMES ASHLEY (LPC)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:ASHLEY
Last Name:WARD
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2244 SAINT PAUL DR STE 203
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80910-3208
Mailing Address - Country:US
Mailing Address - Phone:719-757-8494
Mailing Address - Fax:
Practice Address - Street 1:620 S CASCADE AVE STE 203
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80903-4051
Practice Address - Country:US
Practice Address - Phone:719-757-8494
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-27
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0014766101YP2500X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM71525564Medicaid