Healthcare Provider Details

I. General information

NPI: 1346704236
Provider Name (Legal Business Name): ASHTON SINGHAL
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/25/2019
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

474 N YELLOW SPRINGS ST
SPRINGFIELD OH
45504-2463
US

IV. Provider business mailing address

474 N YELLOW SPRINGS ST
SPRINGFIELD OH
45504-2463
US

V. Phone/Fax

Practice location:
  • Phone: 937-399-9500
  • Fax:
Mailing address:
  • Phone: 937-399-9500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberW1800131
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberE.2607106
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberCDCA168481
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: