Individual provider Active NPI

Vivien Simmons, BCBA

  • Behavior Analyst
  • Richardson, TX
National Provider Identifier
1326413014
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-17-28705
Practice address
1601 N Collins Blvd
Richardson, TX 75080-3520
Phone
(972) 470-5855
NPI assigned
Dec 6, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-17-28705 Primary

Addresses

Primary practice location

1601 N Collins Blvd
Richardson, TX 75080-3520

Mailing address

1601 N Collins Blvd
Richardson, TX 75080-3520
Phone (972) 470-5855

Other practice location 1

190 Civic Cir
250
Lewisville, TX 75067-3424
Phone (972) 219-1200

Other practice location 2

1345 River Bend Dr
Dallas, TX 75247-6943
Phone (214) 743-1251

Other practice location 3

400 E. Royal Ln., Bldg 3, Ste 290
Irving, TX 75039
Phone (855) 831-6727 ext. 2153

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

OrganizationSpecialtyStatusNew patients
Mathis Therapy - a Therapy Connection, LLC Behavior Analyst CurrentSince May 29, 2022 Accepting new patients

Locations

1601 N Collins Blvd
Richardson, TX 75080
Phone (972) 470-5855

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": "1449360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1326413014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 N COLLINS BLVD",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750803520",
            "telephone_number": "972-470-5855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 N COLLINS BLVD",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750803520",
            "telephone_number": "972-470-5855"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "190 Civic Cir",
            "address_2": "250",
            "address_purpose": "LOCATION",
            "city": "Lewisville",
            "state": "TX",
            "postal_code": "750673424",
            "country_code": "US",
            "telephone_number": "972-219-1200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1345 River Bend Dr",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752476943",
            "country_code": "US",
            "telephone_number": "214-743-1251",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 E. Royal Ln., Bldg 3, Ste 290",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "75039",
            "country_code": "US",
            "telephone_number": "855-831-6727 x2153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "VIVIEN",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-06",
        "last_updated": "2022-07-21",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-17-28705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Jul 21, 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.

Verify at the official NPI Registry.