Ashli Self

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146012344 Issued in IL

Practice address

8600 US Highway 14
Ste 108
Crystal Lake, IL 60012-2700

Phone

(815) 403-0485

Fax

(815) 527-6037

NPI assigned

Jan 3, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Self Talk Therapy Services PC

  • Speech-Language Pathologist
  • Crystal Lake, IL
  • NPI 1508310459
  NPD Authorized official

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

{
    "created_epoch": "1451779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506643200000",
    "number": "1174989453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5704 WONDER WOODS DR",
            "city": "WONDER LAKE",
            "state": "IL",
            "postal_code": "600979114",
            "telephone_number": "815-403-0485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8600 US HIGHWAY 14",
            "address_2": "STE 108",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600122700",
            "telephone_number": "815-403-0485",
            "fax_number": "815-527-6037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELF",
        "first_name": "ASHLI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-03",
        "last_updated": "2017-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146012344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Seezox, DC
• Joseph Patrick Segoviano
• Heather Segura
• Select Physical Therapy of Illinois Limited Partnership
• Self Talk Therapy Services PC
• Krishanthi Dilrukshi Seneviratne, MD
• Senior Lifestyle Solutions, LTD.
• Senior Lifestyle Solutions, LTD.
• Andrea Sept, M.A., CCC-SLP/L
• Natalye Serrano, RBT

• Speech-Language Pathologist in Crystal Lake, IL
• Providers in Crystal Lake, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.