MRS. ASHLEY NICOLE BERRY (M.S., CCC-SLP) – Speech-Language Pathologist, NPI 1609134139

MRS. ASHLEY NICOLE BERRY (M.S., CCC-SLP) is a healthcare provider. based in Porter, Texas. specializing in QUALIFIED SPEECH LANGUAGE PATHOLOGIST. They hold the professional credentials M.S., CCC-SLP. They hold a License No. 106751 (TX). The NPI Number for MRS. ASHLEY NICOLE BERRY (M.S., CCC-SLP) is 1609134139

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
MRS. ASHLEY NICOLE BERRY (M.S., CCC-SLP)
NPI
1609134139
Phone
(903) 312-3765
Address
25511 NORTHPARK LAKE DR
Enumeration Date
3 May 2012
Last Update Date
4 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
80885698211
Graduation Year
2011 (15 years ago)
PAC ID
1658536149
Group Practice PAC ID
9830579770
Professional Enrollment ID
I20240821003933
Address ID
HI967931286WA1773XLOOP401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:14State licenses:1Digital endpointsOther names

635 QUALIFIED SPEECH LANGUAGE PATHOLOGIST in TX

Provider Addresses for MRS. ASHLEY NICOLE BERRY (M.S., CCC-SLP)

  • 25511 NORTHPARK LAKE DR

    PORTER, TX 773657439

    Phone: (903) 312-3765

    Type: Mailing

  • 5302 JANELLE DR

    KILLEEN, TX 765495666

    Phone: (254) 699-3933

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-08-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240821003933IQualified Speech Language PathologistHITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 77365)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9830579770View full group profile
NameSpecialtyState
Qualified Speech Language PathologistCA
Qualified Speech Language PathologistHI
Qualified Speech Language PathologistHI

Reviews

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Frequently asked questions

Can I verify MRS. ASHLEY NICOLE BERRY (M.S., CCC-SLP) with an NPI only?
You can start verification with NPI 1609134139 for MRS. ASHLEY NICOLE BERRY (M.S., CCC-SLP), then check state licensing separately.
Does the file indicate MRS. ASHLEY NICOLE BERRY (M.S., CCC-SLP) is practicing under active NPI?
Directory data currently reports MRS. ASHLEY NICOLE BERRY (M.S., CCC-SLP) as active.
What is MRS. ASHLEY NICOLE BERRY (M.S., CCC-SLP)'s primary classification?
Speech-Language Pathologist is the headline specialty for MRS. ASHLEY NICOLE BERRY (M.S., CCC-SLP) here. Clinical services aligned with this taxonomy classification.
Does MRS. ASHLEY NICOLE BERRY (M.S., CCC-SLP) list a practice location?
Patients near Porter, Texas may find MRS. ASHLEY NICOLE BERRY (M.S., CCC-SLP) in results; validate coverage separately.
Is the information about MRS. ASHLEY NICOLE BERRY (M.S., CCC-SLP) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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