Provider Demographics
NPI:1740160761
Name:CASEY, ASHLEY RENAE
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:RENAE
Last Name:CASEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:425 HELGREN ST
Mailing Address - Street 2:
Mailing Address - City:THOMPSON
Mailing Address - State:IA
Mailing Address - Zip Code:50478-5052
Mailing Address - Country:US
Mailing Address - Phone:507-391-1262
Mailing Address - Fax:
Practice Address - Street 1:320 N EISENHOWER AVE
Practice Address - Street 2:
Practice Address - City:MASON CITY
Practice Address - State:IA
Practice Address - Zip Code:50401-1521
Practice Address - Country:US
Practice Address - Phone:641-243-7244
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-03
Last Update Date:2025-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN304832101YA0400X
IAT25069101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)