Active NPI
Susan Emily Harrell, BCBA, LBA
- Behavior Analyst
- Richardson, TX
National Provider Identifier
1255049789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 4701
- Practice address
- 810 N Lindale LN
Richardson, TX 75080-5107 - Phone
- (971) 884-0999
- Fax
- (214) 594-8232
- NPI assigned
- Nov 14, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 4701 | TX | Primary |
Addresses
Primary practice location
810 N Lindale LN
Richardson, TX 75080-5107
Mailing address
810 N Lindale LN
Richardson, TX 75080-5107
Phone (972) 884-0999
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@tristrandtherapy.com | Direct | Tristrand Therapy Services LLC |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4701 | TX | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tristrand Therapy Services LLC | Behavior Analyst | Current | Accepting new patients |
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": "1668384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668384000000",
"number": "1255049789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "810 N LINDALE LN",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750805107",
"telephone_number": "972-884-0999",
"fax_number": "214-594-8232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "810 N LINDALE LN",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750805107",
"telephone_number": "971-884-0999",
"fax_number": "214-594-8232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRELL",
"first_name": "SUSAN",
"middle_name": "EMILY",
"credential": "BCBA, LBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-14",
"last_updated": "2022-11-14",
"certification_date": "2022-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "TX",
"license": "4701",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@tristrandtherapy.com",
"affiliation": "Y",
"endpointDescription": "info@tristrandtherapy.com",
"affiliationName": "Tristrand Therapy Services LLC",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "810 N Lindale Ln",
"city": "Richardson",
"state": "TX",
"country_code": "US",
"postal_code": "750805107",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Richardson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.