Healthcare Provider Details

I. General information

NPI: 1053241216
Provider Name (Legal Business Name): ASHLEY MCCARTHY MA, MT-BC, LPC-A
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

196 QUEEN ST
SOUTHINGTON CT
06489-1901
US

IV. Provider business mailing address

18 LAKE ST
LEDYARD CT
06339-1627
US

V. Phone/Fax

Practice location:
  • Phone: 860-518-5557
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number8649
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number81
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: