Active NPI
Ashley Wilson, MS
- Speech-Language Pathologist
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 30004107
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, OK
Enrollment records 5
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 146017918 | IL | MD | Speech-Language Pathologist |
| 22008043A | IN | MD | Speech-Language Pathologist |
| 30004107 | NC | MD | Speech-Language Pathologist |
| 6366 | OK | MD | Speech-Language Pathologist |
| SP-1418 | WY | MD | Speech-Language Pathologist |
| 8065 | CT | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Expressable Speech-Language Pathology, P.C. | Speech-Language Pathologist | Current | Accepting new patients |
| Expressable Therapy PC | Speech-Language Pathologist | Current | 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.
-
- Speech-Language Pathologist
- Austin, TX
- NPI 1649875857
IL, NC
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.