Individual provider Active NPI

Ashley Johnson, SLP

  • Speech-Language Pathologist
  • Clackamas, OR
National Provider Identifier
1649577412
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
013113 Issued in OR
Practice address
9123 SE Saint Helens St Ste 255B
Clackamas, OR 97015-6801
Phone
(503) 974-6774
Fax
(503) 662-1015
NPI assigned
Feb 14, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 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 013113 OR Primary

Addresses

Primary practice location

9123 SE Saint Helens St Ste 255B
Clackamas, OR 97015-6801

Mailing address

9123 SE Saint Helens St Ste 255B
Clackamas, OR 97015-6801
Phone (503) 974-6774

Other identifiers 1

IdentifierTypeStateIssuer
500762893MedicaidOR

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

State licenses

LicenseStateTypeSpecialty
013113ORMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Speak Up Speech Therapy, LLC Speech-Language Pathologist CurrentSince Nov 9, 2025 Accepting new patients

Locations

9123 SE Saint Helens St
Ste 275D
Clackamas, OR 97015

9123 SE Saint Helens St
Ste 255B
Clackamas, OR 97015
Phone (503) 974-6774

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": "1297641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1649577412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9123 SE SAINT HELENS ST STE 255B",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970156801",
            "telephone_number": "503-974-6774",
            "fax_number": "503-662-1015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9123 SE SAINT HELENS ST STE 255B",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970156801",
            "telephone_number": "503-974-6774",
            "fax_number": "503-662-1015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ASHLEY",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-14",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "013113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500762893",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clackamas, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; 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.