NPIMap

Individual provider Active NPI

Elizabeth Hartsock, BCBA

  • Behavior Analyst
  • New Orleans, LA
National Provider Identifier
1093120875
Registry record updated May 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
3923 Bienville St
New Orleans, LA 70119-5173
Phone
(765) 438-9160
Fax
(866) 500-2186
NPI assigned
Jun 30, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2023

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 1-14-15902 IN
Behavior Analyst 103K00000X LA Primary

Addresses

Primary practice location

3923 Bienville St
New Orleans, LA 70119-5173

Mailing address

3923 Bienville St
New Orleans, LA 70119-5173
Phone (765) 438-9160

Other practice location 1

612 E Boulevard
Kokomo, IN 46902-2271
Phone (765) 461-1245

Other practice location 2

4201 N I 10 Service Rd W
Metairie, LA 70006-6713
Phone (877) 418-2978

Other practice location 3

1714 W Royale Dr
Muncie, IN 47304-2240
Phone (765) 587-4895

Other identifiers 1

IdentifierTypeStateIssuer
300010253MedicaidIN

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
Magnolia Behavioral Services Behavior Analyst Current Accepting new patients
Little Hands and Creations LLC Past Accepting new patients
Autism Brain Alternatives, Inc Behavior Analyst Past Accepting new patients

Organizations & group practices 3

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": "1404086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684454400000",
    "number": "1093120875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3923 BIENVILLE ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701195173",
            "telephone_number": "765-438-9160",
            "fax_number": "866-500-2186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3923 BIENVILLE ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701195173",
            "telephone_number": "765-438-9160",
            "fax_number": "866-500-2186"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "612 E Boulevard",
            "address_purpose": "LOCATION",
            "city": "Kokomo",
            "state": "IN",
            "postal_code": "469022271",
            "country_code": "US",
            "telephone_number": "765-461-1245",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4201 N I 10 Service Rd W",
            "address_purpose": "LOCATION",
            "city": "Metairie",
            "state": "LA",
            "postal_code": "700066713",
            "country_code": "US",
            "telephone_number": "877-418-2978",
            "fax_number": "866-500-2186",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1714 W Royale Dr",
            "address_purpose": "LOCATION",
            "city": "Muncie",
            "state": "IN",
            "postal_code": "473042240",
            "country_code": "US",
            "telephone_number": "765-587-4895",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARTSOCK",
        "first_name": "ELIZABETH",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-30",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IN",
            "license": "1-14-15902",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300010253",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2023; 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.