Individual provider Active NPI

Jodi Lynn Muse

  • Behavior Analyst
  • McKinney, TX
National Provider Identifier
1508522327
Registry record updated Nov 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-21-55495 Issued in TX
Practice address
1402 S Custer Rd Ste 601
McKinney, TX 75072-1453
Phone
(972) 839-0207
NPI assigned
Nov 16, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2021

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 1-21-55495 TX Primary

Addresses

Primary practice location

1402 S Custer Rd Ste 601
McKinney, TX 75072-1453

Mailing address

113 Creekview LN
Crandall, TX 75114-5105
Phone (972) 839-0207

Other identifiers 1

IdentifierTypeStateIssuer
1-21-55495OtherTXBCBA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address admin@tlsaba.com Direct

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
Comprehensive ABA Consultants LLC Behavior Analyst CurrentSince Nov 21, 2021 Accepting new patients
JMZ Positive Behavioral Outlook PLLC Behavior Analyst CurrentSince Feb 24, 2022 Accepting new patients

Locations

1402 S Custer Rd
Ste 601
McKinney, TX 75072
Phone (214) 428-8402

Organizations & group practices 2

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": "1637020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637020800000",
    "number": "1508522327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 CREEKVIEW LN",
            "city": "CRANDALL",
            "state": "TX",
            "postal_code": "751145105",
            "telephone_number": "972-839-0207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 S CUSTER RD STE 601",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750721453",
            "telephone_number": "972-839-0207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSE",
        "first_name": "JODI",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-16",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "1-21-55495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBA",
            "identifier": "1-21-55495",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@tlsaba.com",
            "affiliation": "N",
            "endpointDescription": "documents",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1402 S Custer Rd Ste 601",
            "city": "McKinney",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750721453",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2021; 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.