NPIMap

Organization Active NPI

Sequel Schools LLC Dba Sequelcare of Tennessee

  • Community/Behavioral Health Agency
  • Murfreesboro, TN
National Provider Identifier
1568611879
Registry record updated Jan 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
L000000008454 Issued in TN
Legal business name
SEQUEL SCHOOLS LLC DBA SEQUELCARE OF TENNESSEE
Practice address
534 Uptown Square
Murfreesboro, TN 37129
Phone
(615) 849-3939
Fax
(615) 849-3945
NPI assigned
Sep 10, 2008
Last updated
Jan 13, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2012

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

Authorized official

Name
Mr. Trey Holt, LPC
Title
Executive Director
Phone
(615) 849-3939

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Community/Behavioral Health Agency 251S00000X L000000008454 TN Primary

Addresses

Primary practice location

534 Uptown Square
Murfreesboro, TN 37129

Mailing address

1131 Eagletree Lane
Huntsville, AL 35801-6478

Other identifiers 1

IdentifierTypeStateIssuer
1508362MedicaidTN

Other names 1

  • Kids 1st of Tennessee, LLC or Camelot of Tennessee, LLC Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
The Camelot Schools LLC9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

534 Uptown Sq
Murfreesboro, TN 37129
Phone (615) 849-3939

NPI Registry JSON

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

{
    "created_epoch": "1221004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326412800000",
    "number": "1568611879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 EAGLETREE LANE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 UPTOWN SQUARE",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "37129",
            "telephone_number": "615-849-3939",
            "fax_number": "615-849-3945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEQUEL SCHOOLS LLC DBA SEQUELCARE OF TENNESSEE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-10",
        "last_updated": "2012-01-13",
        "status": "A",
        "authorized_official_last_name": "HOLT",
        "authorized_official_first_name": "TREY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "615-849-3939",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TN",
            "license": "L000000008454",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508362",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kids 1st of Tennessee, LLC or Camelot of Tennessee, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Murfreesboro, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2012; 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.