Individual provider Active NPI

Ashley Wilson, MS

  • Speech-Language Pathologist
  • Los Angeles, CA
National Provider Identifier
1164236451
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
30004107 Issued in NC
Practice address
633 W 5TH St Ofc 2876B
Los Angeles, CA 90071-2005
Phone
(512) 377-6318
NPI assigned
Feb 5, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 146017918 IL
Speech-Language Pathologist 235Z00000X 30004107 NC Primary
Speech-Language Pathologist 235Z00000X 6366 OK
Speech-Language Pathologist 235Z00000X 22008043A IN
Speech-Language Pathologist 235Z00000X 8065 CT
Speech-Language Pathologist 235Z00000X SP-1418 WY

Addresses

Primary practice location

633 W 5TH St Ofc 2876B
Los Angeles, CA 90071-2005

Mailing address

633 W 5TH St Ofc 2876B
Los Angeles, CA 90071-2005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN, CT, NC, OK5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20250220000827 IL Practitioner - Qualified Speech Language Pathologist 6103346259 Reassigns benefits to 1 organization
I20250221002140 IN Practitioner - Qualified Speech Language Pathologist 6103346259 Reassigns benefits to 1 organization
I20250411002158 CT Practitioner - Qualified Speech Language Pathologist 6103346259 Reassigns benefits to 1 organization
I20250808000405 NC Practitioner - Qualified Speech Language Pathologist 6103346259 Reassigns benefits to 1 organization
I20250826000324 OK Practitioner - Qualified Speech Language Pathologist 6103346259 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Expressable Therapy PCGroup PAC ID 0042698136, 67 clinicians
Expressable Speech-Language Pathology PCGroup PAC ID 4688074511, 115 clinicians

Practice addresses (Care Compare)

1251 N Eddy St
Suite 200
South Bend, IN 46617-1478
Phone (512) 399-0064

2530 Meridian Pkwy
Suite 300
Durham, NC 27713-5273
Phone (512) 399-0064

5 Revere Dr
Northbrook, IL 60062-1566
Phone (512) 399-0064

500 W Putnam Ave
Suite 400
Greenwich, CT 06830-6096
Phone (512) 399-0064

7633 E 63Rd PL
Suite 300
Tulsa, OK 74133-1202
Phone (512) 377-6318

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
146017918ILMDSpeech-Language Pathologist
22008043AINMDSpeech-Language Pathologist
30004107NCMDSpeech-Language Pathologist
6366OKMDSpeech-Language Pathologist
SP-1418WYMDSpeech-Language Pathologist
8065CTMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Expressable Speech-Language Pathology, P.C. Speech-Language Pathologist CurrentSince Apr 13, 2025 Accepting new patients
Expressable Therapy PC Speech-Language Pathologist CurrentSince Apr 13, 2025 Accepting new patients

Locations

633 W 5th St
Los Angeles, CA 90071
Phone (213) 260-1286

633 W 5th St
Ofc 2876B
Los Angeles, CA 90071

500 W Putnam Ave
Ste 400
Greenwich, CT 06830
Phone (203) 532-9880

5 Revere Dr
Ste 200
Northbrook, IL 60062
Phone (630) 291-3206

5 Revere Dr
#One
Northbrook, IL 60062

1251 N Eddy St
Ste 200
South Bend, IN 46617
Phone (219) 286-7258

2530 Meridian Pkwy
Ste 300
Durham, NC 27713
Phone (919) 443-1708

615 Saint George Square Ct
Ste 300
Winston Salem, NC 27103
Phone (336) 793-8125

7633 E 63rd Pl
Ste 300
Tulsa, OK 74133
Phone (888) 637-9669

7600 Chevy Chase Dr
Ste 300
Austin, TX 78752
Phone (512) 318-2503

7600 Chevy Chase Dr
Austin, TX 78752
Phone (512) 649-3880

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1738713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1164236451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 W 5TH ST OFC 2876B",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900712005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 W 5TH ST OFC 2876B",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900712005",
            "telephone_number": "512-377-6318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "ASHLEY",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-05",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146017918",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "30004107",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "6366",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22008043A",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CT",
            "license": "8065",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WY",
            "license": "SP-1418",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.