Active NPI
Richard A Keinz Jr., BCBA
- Behavior Analyst
- Parker, CO
National Provider Identifier
1003377672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-21-57044
- Practice address
- 19585 Hess Rd Ste 6
Parker, CO 80134-3891 - Phone
- (720) 673-9132
- NPI assigned
- Mar 27, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Behavior Analyst | 103K00000X | 1-21-57044 | CO | Primary |
Addresses
Primary practice location
19585 Hess Rd Ste 6
Parker, CO 80134-3891
Mailing address
9669 Spruce Mountain Rd Lot 20
Larkspur, CO 80118-1200
Phone (815) 978-1452
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Support Center of Colorado, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Adolescent and Children Mental Health Clinic/Center
- Colorado Springs, CO
- NPI 1134733512
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640649600000",
"number": "1003377672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9669 SPRUCE MOUNTAIN RD LOT 20",
"city": "LARKSPUR",
"state": "CO",
"postal_code": "801181200",
"telephone_number": "815-978-1452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19585 HESS RD STE 6",
"city": "PARKER",
"state": "CO",
"postal_code": "801343891",
"telephone_number": "720-673-9132"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEINZ",
"first_name": "RICHARD",
"middle_name": "A",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-27",
"last_updated": "2021-12-28",
"certification_date": "2021-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CO",
"license": "1-21-57044",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Parker, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.