=====================================================
General NPI Number Information
=====================================================
NPI Number | 1558190900
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ASHLEY LYNN KONERMANN LPC
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/01/2024
-----------------------------------------------------
Last Update Date | 11/04/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1 CHISHOLM TRAIL RD STE 225
-----------------------------------------------------
City | ROUND ROCK
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78681-5106
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 512-768-6383
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1505 CHAPARRAL RD
-----------------------------------------------------
City | BURKBURNETT
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 76354-2803
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 940-235-2668
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YP2500X
-----------------------------------------------------
Taxonomy Name | Professional Counselor
-----------------------------------------------------
License Number | 87501
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------