Individual provider Active NPI

Kimberly Belaschky, M.ED., LPC, BCBA

  • Behavior Analyst
  • Houston, TX
National Provider Identifier
1093103822
Registry record updated Nov 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-14-17637 Issued in TX
Practice address
301 Wells Fargo Dr
Suite 12
Houston, TX 77090-4060
Phone
(317) 334-7331
NPI assigned
Jan 1, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-14-17637 TX Primary
Professional Counselor 101YP2500X 70257 TX

Addresses

Primary practice location

301 Wells Fargo Dr
Suite 12
Houston, TX 77090-4060

Mailing address

23904 Crooked CRK
Hockley, TX 77447-7541
Phone (281) 905-8179

Other names 1

  • Kimberly Frie Former 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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
70257TXMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1420070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480377600000",
    "number": "1093103822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23904 CROOKED CRK",
            "city": "HOCKLEY",
            "state": "TX",
            "postal_code": "774477541",
            "telephone_number": "281-905-8179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 WELLS FARGO DR",
            "address_2": "SUITE 12",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770904060",
            "telephone_number": "317-334-7331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELASCHKY",
        "first_name": "KIMBERLY",
        "credential": "M.ED., LPC, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-01",
        "last_updated": "2016-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "1-14-17637",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "70257",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "FRIE",
            "credential": "M.ED., LPC, BCBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.

Verify at the official NPI Registry.