Active NPI
Jill C Collins
- Behavior Analyst
- Brentwood, TN
National Provider Identifier
1255860359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-16-23287
- Practice address
- 1604 Westgate Cir
Brentwood, TN 37027-1300 - Phone
- (615) 239-5242
- NPI assigned
- Jun 12, 2017
- Last updated
- Dec 21, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 | 1-16-23287 | TN | Primary |
Addresses
Primary practice location
1604 Westgate Cir
Brentwood, TN 37027-1300
Mailing address
1604 Westgate Cir Ste 240
Brentwood, TN 37027-8578
Phone (615) 239-5242
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Angel Access Therapy, LLC | Behavior Analyst | Current | Accepting new patients |
Locations
1604 Westgate Cir
Brentwood, TN 37027
Phone (615) 239-5242
1604 Westgate Cir
Ste 240
Brentwood, TN 37027
Phone (615) 239-5242
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703116800000",
"number": "1255860359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1604 WESTGATE CIR STE 240",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370278578",
"telephone_number": "615-239-5242",
"fax_number": "888-880-5719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1604 WESTGATE CIR",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370271300",
"telephone_number": "615-239-5242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "JILL",
"middle_name": "C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-12",
"last_updated": "2023-12-21",
"certification_date": "2023-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "TN",
"license": "1-16-23287",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brentwood, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.