MEDICARE: ASHE COUNSELING & COACHING LLC

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	261QM0855X	Adolescent and Children Mental Health Clinic/Center
2	261QM0850X	Adult Mental Health Clinic/Center

General Provider Information

NPI Number	:	1881528578
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASHE COUNSELING & COACHING LLC

Provider Business Mailing Address
First Line	:	40 E HURON ST UNIT 4B
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60611-5244
Country	:	US
Telephone Number	:	773-377-5577
Fax Number	:

Provider Business Practice Location Address
First Line	:	2653 N KEDZIE AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60647-1607
Country	:	US
Telephone Number	:	773-377-5577
Fax Number	:	773-538-3785

Authorized Official
Title or Position	:	CEO
Name	:	MANDISA JONES
Credential	:	LCSW
Telephone Number	:	773-599-8922

Provider Enumeration Date	:	06/09/2026
Last Update Date	:	06/15/2026

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