Individual provider Active NPI

Alicia Ash, MA, EDS, NCSP

  • School Psychologist
  • Saint Johns, FL
National Provider Identifier
1548715246
Registry record updated Oct 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
SS1577 Issued in FL
Practice address
140 Gateway Cir Unit 3
St Johns, FL 32259-4085
Phone
(773) 870-2377
NPI assigned
Aug 23, 2016
Last updated
Oct 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X SS1577 FL Primary
School Psychologist 103TS0200X 1817988 IL

Addresses

Primary practice location

140 Gateway Cir Unit 3
St Johns, FL 32259-4085

Mailing address

94 Lomond CT
St Augustine, FL 32095-7571

Other names 1

  • Alicia Jacobs Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
SS1577FLMDSchool Psychologist
1817988ILMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Naperville Community Unit School District 203 Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1471910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790899200000",
    "number": "1548715246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 LOMOND CT",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320957571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 GATEWAY CIR UNIT 3",
            "city": "ST JOHNS",
            "state": "FL",
            "postal_code": "322594085",
            "telephone_number": "773-870-2377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASH",
        "first_name": "ALICIA",
        "credential": "MA, EDS, NCSP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-23",
        "last_updated": "2026-10-02",
        "certification_date": "2026-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "FL",
            "license": "SS1577",
            "primary": true
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "IL",
            "license": "1817988",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALICIA",
            "last_name": "JACOBS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Johns, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2026; 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.