Individual provider Active NPI

Ashley Elizabeth Brim, CCC-SLP

  • Speech-Language Pathologist
  • Alton, IL
National Provider Identifier
1588179261
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146014349 Issued in IL
Practice address
208 Alton SQ
Alton, IL 62002-5919
Phone
(618) 463-5171
NPI assigned
Dec 4, 2017
Last updated
Jan 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 146014349 IL Primary

Addresses

Primary practice location

208 Alton SQ
Alton, IL 62002-5919

Mailing address

4338 Piasa Rd
Brighton, IL 62012-2328
Phone (618) 402-0438

Other practice location 1

314 S Meissner St
Bunker Hill, IL 62014-1325
Phone (618) 585-3232

Other practice location 2

700 W Orange St
Bunker Hill, IL 62014-1535
Phone (618) 585-4831

Other practice location 3

1095 University Dr
Edwardsville, IL 62025-3961

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address abrim@bhcusd.org Direct

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
146014349ILMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Empowerme Wellness Kansas City, LLC Speech-Language Pathologist CurrentSince Jan 4, 2024 Accepting new patients
Osf Healthcare System Past Accepting new patients

Locations

1021 W E St
Belleville, IL 62220
Phone (618) 233-2095

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723

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, 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": "1512345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1588179261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4338 PIASA RD",
            "city": "BRIGHTON",
            "state": "IL",
            "postal_code": "620122328",
            "telephone_number": "618-402-0438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 ALTON SQ",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620025919",
            "telephone_number": "618-463-5171"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "314 S Meissner St",
            "address_purpose": "LOCATION",
            "city": "Bunker Hill",
            "state": "IL",
            "postal_code": "620141325",
            "country_code": "US",
            "telephone_number": "618-585-3232",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 W Orange St",
            "address_purpose": "LOCATION",
            "city": "Bunker Hill",
            "state": "IL",
            "postal_code": "620141535",
            "country_code": "US",
            "telephone_number": "618-585-4831",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1095 University Dr",
            "address_purpose": "LOCATION",
            "city": "Edwardsville",
            "state": "IL",
            "postal_code": "620253961",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRIM",
        "first_name": "ASHLEY",
        "middle_name": "ELIZABETH",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-04",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146014349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "abrim@bhcusd.org",
            "affiliation": "N",
            "endpointDescription": "Direct email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "700 W Orange St",
            "city": "Bunker Hill",
            "state": "IL",
            "country_code": "US",
            "postal_code": "620141535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Alton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; 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.