Laura Trillizio, BCBA

Primary specialty

Health Service PsychologistTaxonomy code 103TH0100X

License

1-18-30687 Issued in TN

Practice address

1313 Oak Valley Dr
Mount Juliet, TN 37122-7412

Phone

(615) 823-4041

Fax

(866) 936-1472

NPI assigned

Dec 23, 2020

Last updated

Dec 23, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bluespring Behavioral Health LLC

  • Community/Behavioral Health Agency
  • Mount Juliet, TN
  • NPI 1578092284
  NPD

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

{
    "created_epoch": "1608681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608681600000",
    "number": "1073100160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 OAK VALLEY DR",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371227412",
            "telephone_number": "161-582-3404",
            "fax_number": "866-936-1472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 OAK VALLEY DR",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371227412",
            "telephone_number": "615-823-4041",
            "fax_number": "866-936-1472"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2442 N Mount Juliet Rd",
            "address_purpose": "LOCATION",
            "city": "MT Juliet",
            "state": "TN",
            "postal_code": "371223088",
            "country_code": "US",
            "telephone_number": "615-823-4041",
            "fax_number": "866-936-1472",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRILLIZIO",
        "first_name": "LAURA",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-23",
        "last_updated": "2020-12-23",
        "certification_date": "2020-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "TN",
            "license": "1-18-30687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kerri Leanne Tracy, LCSW
• Lauren Marie Trapp
• Nazaret Magdalena Trejo
• Shirley Treutel, BSN
• Triad Counseling and Wellness Corp (Triad Counseling and Wellness Center)
• Michael J Trimble, PA-C
• Diana Lynn Tucker, D.C.
• Temeka Rene Tunstall, DNP, APRN
• Courtney Lee Ann Turley, LPC-MHSP
• Andrea Turner, OT

• Health Service Psychologist in Mount Juliet, TN
• Providers in Mount Juliet, TN by specialty
• Health Service Psychologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2020; 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.