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Active NPI 1902582513 Individual Practitioner Female Practitioner

Ashlyn Staves

Counselor - Professional • O Fallon, IL

Professional Overview & Biography Verified Profile Summary

Ashlyn Staves is a registered healthcare professional specializing in Counselor - Professional in O Fallon, IL. Practice services are available at 807 W HIGHWAY 50 STE 3 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

807 W Highway 50 Ste 3

O Fallon, IL 622691856

Telephone 6188368142
Associated Practice Facility / Clinic
🏢 Untangled Minds Pllc Facility NPI 1952022527

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in O Fallon, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.0 Yrs
State Avg: 17.0 Yrs
Regional Practice Density
31 Specialists

Practicing in O Fallon, IL (9683 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-11-02
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License IL 180.016179

Definition to come...

Counselor - Professional

NUCC Taxonomy Code: 101YP2500X

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Audrey Gonzalez , LCPC

Counselor - Professional

NPI 1437610086

Licensed Clinical Professional Counselor

Ashanti Muhammad-Pittman , LCPC

Counselor - Professional

NPI 1487422952

Licensed Clinical Professional Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location November 02, 2024

Registered at 807 W HIGHWAY 50 STE 3, O FALLON, IL 622691856 (Tel: 6188368142)

👤
Provider Name / Credentials Updated August 30, 2024

Recorded as ASHLYN STAVES

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 30, 2024

Counselor

NPI Profile Active June 27, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location June 27, 2023

Registered at 850 VANDALIA ST STE 200, COLLINSVILLE, IL 622344068 (Tel: 6185511777)

📍
Updated Business Mailing Address June 27, 2023

Registered at 712 GEORGE ST, CASEYVILLE, IL 622322015 (Tel: 6185931023)

👤
Provider Name / Credentials Updated June 27, 2023

Recorded as ASHLYN CADLE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 27, 2023

Counselor (License #178.018435 in IL)

🟢
Initial NPI Registration & Enumeration June 27, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1902582513
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 27, 2023
Last Update: November 02, 2024
Sole Proprietor: No

Mailing Address

712 George St

Caseyville, IL 622322015

Phone: 6185931023

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.