Active NPI
Kristin Pauline Helmers, M.S., BCBA
- Behavior Analyst
- Madison, WI
National Provider Identifier
1053767681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 149-140
- Practice address
- 559 Zor Shrine PL
Madison, WI 53719-2068 - Phone
- (608) 833-0123
- NPI assigned
- May 12, 2016
- Last updated
- May 12, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 149-140 | WI | Primary |
Addresses
Primary practice location
559 Zor Shrine PL
Madison, WI 53719-2068
Mailing address
1024 Avon St
La Crosse, WI 54603-2503
Phone (847) 363-7328
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 149-140 | Other | WI | STATE LICENSE |
| 1-16-22078 | Other | BEHAVIOR ANALYST CERTIFICATION BOARD |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149-140 | WI | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Developmental Services, Inc | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Counselor
- Madison, WI
- NPI 1528025954
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463011200000",
"number": "1053767681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1024 AVON ST",
"city": "LA CROSSE",
"state": "WI",
"postal_code": "546032503",
"telephone_number": "847-363-7328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "559 ZOR SHRINE PL",
"city": "MADISON",
"state": "WI",
"postal_code": "537192068",
"telephone_number": "608-833-0123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HELMERS",
"first_name": "KRISTIN",
"middle_name": "PAULINE",
"credential": "M.S., BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-12",
"last_updated": "2016-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "WI",
"license": "149-140",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "149-140",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEHAVIOR ANALYST CERTIFICATION BOARD",
"identifier": "1-16-22078",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.