Alice Blair Bass, MT-BC

Primary specialty

Music TherapistTaxonomy code 225A00000X

License

MUT000329 Issued in GA

Practice address

1001 Macy Dr
Roswell, GA 30076-6335

Phone

(678) 965-0993

NPI assigned

Jun 3, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1717372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1790526846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 MACY DR",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300766335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 MACY DR",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300766335",
            "telephone_number": "678-965-0993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASS",
        "first_name": "ALICE",
        "middle_name": "BLAIR",
        "credential": "MT-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-03",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Music Therapist",
            "state": "GA",
            "license": "MUT000329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tania A Barroso, M.D.
• Barry a. Koffler, M.D., P.C.
• Caitlin Barton, OTR/L
• Jennifer Barton, OTRL
• Allison Zito Basham, M.A., LPC
• Amanda Bass, PHARMD
• Erica Lynn Basso, D.C.
• Batchelor Chiropractic Roswell Ga
• Daniel Cameron Batchelor, DC
• Keisha Bates, D.C

• Music Therapist in Roswell, GA
• Providers in Roswell, GA by specialty
• Music Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; 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.