Beauty for Ashes, LLC
NPI 1134510795ActiveOrganization· Social Worker, Clinical· Edmond, OK
Social Worker, Clinical in Edmond, Oklahoma, registered in NPPES in February 2015. The authorized official on file is Portia Goldsmith-Nickelberry, LCSW, Owner/Operator. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1134510795 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 17, 2015 |
| Last updated in NPPES | Oct 30, 2025 |
| Certified by provider | Oct 30, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 4889 | OK |
| Counselor, Mental Health | 101YM0800X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (OK) |
|---|
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