Individual provider Active NPI

Lara Elizabeth Himrod

  • Behavior Analyst
  • Martins Ferry, OH
National Provider Identifier
1033002605
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BCBA12045621
Practice address
611 Walnut Street
M
Martins Ferry, OH 43935
Phone
(740) 609-5072
Fax
(740) 609-5073
NPI assigned
Jun 2, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X BCBA12045621 Primary

Addresses

Primary practice location

611 Walnut Street
M
Martins Ferry, OH 43935

Mailing address

611 Walnut Street
PO Box 244
Martins Ferry, OH 43935
Phone (740) 609-5072

Other names 1

  • Lara Elizabeth Durrah Other name

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

OrganizationSpecialtyStatusNew patients
Kendall Behavioral Solutions, LLC Behavior Analyst CurrentSince Jun 8, 2025 Accepting new patients

Locations

611 Walnut St
Martins Ferry, OH 43935
Phone (740) 609-5072

611 Walnut St
#M
Martins Ferry, OH 43935
Phone (740) 609-5072

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.

NPI Registry JSON

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

{
    "created_epoch": "1748822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1033002605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 WALNUT STREET",
            "address_2": "PO BOX 244",
            "city": "MARTINS FERRY",
            "state": "OH",
            "postal_code": "43935",
            "telephone_number": "740-609-5072",
            "fax_number": "740-609-5073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 WALNUT STREET",
            "address_2": "M",
            "city": "MARTINS FERRY",
            "state": "OH",
            "postal_code": "43935",
            "telephone_number": "740-609-5072",
            "fax_number": "740-609-5073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIMROD",
        "first_name": "LARA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-02",
        "last_updated": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "BCBA12045621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LARA",
            "last_name": "DURRAH",
            "middle_name": "ELIZABETH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Martins Ferry, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; 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.