Individual provider Active NPI

Ashley Metz, BCBA BAHAVIOR ANALYS

  • Behavior Analyst
  • Arlington Heights, IL
National Provider Identifier
1982191797
Registry record updated Apr 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
11830147 Issued in IL
Practice address
3385 N Arlington Heights Rd
Arlington Heights, IL 60004-7702
Phone
(847) 306-9843
Fax
(847) 306-9843
NPI assigned
Apr 17, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X 11830147 IL Primary

Addresses

Primary practice location

3385 N Arlington Heights Rd
Arlington Heights, IL 60004-7702

Mailing address

5 Revere Dr Ste 120
Northbrook, IL 60062-8005
Phone (847) 306-9843

Other practice location 1

85 Revere Dr Ste B
Northbrook, IL 60062-8001
Phone (847) 306-9843 ext. 146

Other identifiers 1

IdentifierTypeStateIssuer
270727160OtherILALL OTHER PAYORS

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

State licenses

LicenseStateTypeSpecialty
11830147ILMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Acorn Health of Michigan, LLC Behavior Analyst Past Accepting new patients
Acorn Health, LLC. Behavior Analyst Past Accepting new patients

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": "1523923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523923200000",
    "number": "1982191797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 REVERE DR STE 120",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600628005",
            "telephone_number": "847-306-9843",
            "fax_number": "847-306-9843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3385 N ARLINGTON HEIGHTS RD",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600047702",
            "telephone_number": "847-306-9843",
            "fax_number": "847-306-9843"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "85 Revere Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Northbrook",
            "state": "IL",
            "postal_code": "600628001",
            "country_code": "US",
            "telephone_number": "847-306-9843 x146",
            "fax_number": "847-306-9843",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "METZ",
        "first_name": "ASHLEY",
        "credential": "BCBA BAHAVIOR ANALYS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-17",
        "last_updated": "2018-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "IL",
            "license": "11830147",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALL OTHER PAYORS",
            "identifier": "270727160",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2018; 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.