Individual provider Active NPI

Ashley Nicole Berry, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Porter, TX
National Provider Identifier
1609134139
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
106751 Issued in TX
Practice address
25511 Northpark Lake Dr
Porter, TX 77365-7439
Phone
(903) 312-3765
NPI assigned
May 3, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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 106751 TX Primary

Addresses

Primary practice location

25511 Northpark Lake Dr
Porter, TX 77365-7439

Mailing address

25511 Northpark Lake Dr
Porter, TX 77365-7439
Phone (903) 312-3765

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240821003933 HI Practitioner - Qualified Speech Language Pathologist 1658536149 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1773 Wili PA Loop
Suite a
Wailuku, HI 96793-1286
Phone 80885698211

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
106751TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Maui Speech and Swallow and Neurological Rehabilitation LLC Speech-Language Pathologist CurrentSince Jul 1, 2024 Accepting new patients

Locations

1773 Wili Pa Loop
Ste A
Wailuku, HI 96793
Phone (808) 856-9821

1826 Wili Pa Loop
Ste 6
Wailuku, HI 96793
Phone (808) 856-9821

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1336003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1609134139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25511 NORTHPARK LAKE DR",
            "city": "PORTER",
            "state": "TX",
            "postal_code": "773657439",
            "telephone_number": "903-312-3765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25511 NORTHPARK LAKE DR",
            "city": "PORTER",
            "state": "TX",
            "postal_code": "773657439",
            "telephone_number": "903-312-3765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "ASHLEY",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-03",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "106751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Porter, TX

Sources for this page

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