Provider Demographics
NPI:1669849550
Name:PERKINS, ASHLEY RAE (LPCC)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:RAE
Last Name:PERKINS
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3611 RABBITS FOOT TRL
Mailing Address - Street 2:APARTMENT 9
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40503-3754
Mailing Address - Country:US
Mailing Address - Phone:859-538-4422
Mailing Address - Fax:
Practice Address - Street 1:1420 N BROADWAY
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40505
Practice Address - Country:US
Practice Address - Phone:859-368-8820
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-26
Last Update Date:2018-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY242802101YP2500X
KYLPCCCA00222154101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY1790731081Medicaid