Provider Demographics
NPI:1356144240
Name:PINEGAR, ASHLEY (LSW)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:PINEGAR
Suffix:
Gender:
Credentials:LSW
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:
Other - Last Name:DIERINGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11 TRAFALGAR SQ
Mailing Address - Street 2:
Mailing Address - City:TRAFALGAR
Mailing Address - State:IN
Mailing Address - Zip Code:46181-9515
Mailing Address - Country:US
Mailing Address - Phone:317-648-7169
Mailing Address - Fax:317-878-2355
Practice Address - Street 1:163 BUTNER DR
Practice Address - Street 2:
Practice Address - City:HOPE
Practice Address - State:IN
Practice Address - Zip Code:47246-9447
Practice Address - Country:US
Practice Address - Phone:812-546-6000
Practice Address - Fax:812-546-0368
Is Sole Proprietor?:No
Enumeration Date:2025-03-28
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN33010768A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health