Healthcare Provider Details

I. General information

NPI: 1932049863
Provider Name (Legal Business Name): DR. ASHLEY GERKEN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/31/2026
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 BENTWOOD LN
ALISO VIEJO CA
92656-2918
US

IV. Provider business mailing address

7 BENTWOOD LN
ALISO VIEJO CA
92656-2918
US

V. Phone/Fax

Practice location:
  • Phone: 949-295-6773
  • Fax:
Mailing address:
  • Phone: 949-295-6773
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number12732
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: