Individual provider Active NPI

Ashley Michaelis, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Jacksonville, FL
National Provider Identifier
1801218433
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA20132 Issued in FL
Practice address
10950-60 San Jose Blvd
#268
Jacksonville, FL 32223
Phone
(904) 539-9930
Fax
(904) 395-2255
NPI assigned
Jan 16, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 144.0134112 VT
Speech-Language Pathologist 235Z00000X SA12742 FL
Speech-Language Pathologist 235Z00000X SA20132 FL Primary

Addresses

Primary practice location

10950-60 San Jose Blvd
#268
Jacksonville, FL 32223

Mailing address

10950-60 San Jose Blvd
#268
Jacksonville, FL 32223
Phone (904) 539-9330

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220609001604 FL Practitioner - Qualified Speech Language Pathologist 8729466354 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Empowered Voice Rehabilitation LLCGroup PAC ID 7810375441, 3 clinicians

Practice addresses (Care Compare)

15754 Spotted Saddle Cir
Jacksonville, FL 32218-7979
Phone (904) 539-9930

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SA12742FLMDSpeech-Language Pathologist
SA20132FLMDSpeech-Language Pathologist
144.0134112VTMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Empowered Voice Rehabilitation LLC CurrentSince Apr 28, 2022 Accepting new patients
Coastal Therapy & Learning Center, Inc. Speech-Language Pathologist Past Accepting new patients

Locations

13500 Sutton Park Dr S
Ste 401
Jacksonville, FL 32224
Phone (904) 656-7755

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1389830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1801218433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10950-60 SAN JOSE BLVD",
            "address_2": "#268",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32223",
            "telephone_number": "904-539-9330",
            "fax_number": "904-395-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10950-60 SAN JOSE BLVD",
            "address_2": "#268",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32223",
            "telephone_number": "904-539-9930",
            "fax_number": "904-395-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAELIS",
        "first_name": "ASHLEY",
        "name_prefix": "Mrs.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-16",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VT",
            "license": "144.0134112",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA12742",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA20132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; 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.