Organization Active NPI

Angel Access Therapy, LLC

Doing business as blueprintUp

  • Behavior Analyst
  • Brentwood, TN
National Provider Identifier
1740796515
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
0000000270 Issued in TN
Legal business name
ANGEL ACCESS THERAPY, LLC
Doing business as
blueprintUp
Practice address
1604 Westgate Cir
Brentwood, TN 37027-1300
Phone
(615) 239-5242
Fax
(888) 880-5719
NPI assigned
Dec 15, 2017
Last updated
Dec 21, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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

Authorized official

Name
Ms. Jill Collins, LBANPI 1255860359
Title
Owner
Phone
(615) 239-5242

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 0000000270 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

Other names 1

  • blueprintUp Doing business as

National Provider Directory

National Provider Directory

Locations

1604 Westgate Cir
Brentwood, TN 37027
Phone (615) 239-5242

1604 Westgate Cir
Ste 240
Brentwood, TN 37027
Phone (615) 239-5242

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1513296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703116800000",
    "number": "1740796515",
    "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"
        },
        {
            "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",
            "fax_number": "888-880-5719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL ACCESS THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-15",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-239-5242",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TN",
            "license": "0000000270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "blueprintUp",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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.

Verify at the official NPI Registry.