Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1629083423 Individual Practitioner Female Practitioner

Basha Ontiveros , MS, CCC-SLP

Speech-Language Pathologist • Bloomington, IL

Professional Overview & Biography Verified Profile Summary

Basha Ontiveros, MS, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Bloomington, IL. Practice services are available at 2416 E WASHINGTON ST STE C5 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2416 E Washington St Ste C5

Bloomington, IL 617041629

Telephone 9137305925
Fax 2029317876
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Bloomington, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.0 Yrs
State Avg: 13.2 Yrs
Regional Practice Density
62 Specialists

Practicing in Bloomington, IL (10321 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-08-22
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License IL 146007682

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Blue Cross
5732059 (IL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Crystal Hiser , LCPC

Counselor - Professional

NPI 1104904242

Licensed Clinical Professional Counselor

Julia Current

Speech-Language Pathologist

NPI 1336805308

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location August 22, 2022

Registered at 2416 E WASHINGTON ST STE C5, BLOOMINGTON, IL 617041629 (Tel: 9137305925)

📍
Updated Business Mailing Address August 22, 2022

Registered at 207 IMPERIAL DR, BLOOMINGTON, IL 617012029 (Tel: 3098305925)

NPI Profile Active October 05, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location October 05, 2015

Registered at 207 IMPERIAL DR, BLOOMINGTON, IL 617012029 (Tel: 3098305925)

📍
Updated Business Mailing Address October 05, 2015

Registered at 2412 E WASHINGTON ST, 8B, BLOOMINGTON, IL 617044497 (Tel: 3096634172)

👤
Provider Name / Credentials Updated October 05, 2015

Recorded as BASHA ONTIVEROS, M.S., CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 05, 2015

Speech-Language Pathologist (License #146007682 in IL)

🟢
Initial NPI Registration & Enumeration July 30, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1629083423
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 30, 2006
Last Update: August 22, 2022
Sole Proprietor: No

Mailing Address

207 Imperial Dr

Bloomington, IL 617012029

Phone: 3098305925

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.