MEDICARE: ASHLEY ANNE NEIDIGH LMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	MH21211	FL
2	101YM0800X	Mental Health Counselor	LH61405603	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MH21211	OTHER	FL	DEPARTMENT OF HEALTH
2	LH61405603	OTHER	WA	DEPARTMENT OF HEALTH

General Provider Information

NPI Number	:	1316654973
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY ANNE NEIDIGH LMHC

Provider Business Mailing Address
First Line	:	9995 GATE PKWY N STE 100
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32246-0800
Country	:	US
Telephone Number	:	833-769-3524
Fax Number	:

Provider Business Practice Location Address
First Line	:	9995 GATE PKWY N STE 100
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32246-0800
Country	:	US
Telephone Number	:	833-769-3524
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/03/2022
Last Update Date	:	12/18/2025

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Directions to “ ASHLEY ANNE NEIDIGH LMHC” Practice Location

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