Katharine Roberts

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-19-37557 Issued in CO

Practice address

1309 Oak Way Ave
Glenwood Springs, CO 81601-4049

Phone

(720) 670-9046

Fax

(720) 294-0543

NPI assigned

Jun 25, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Maura Stack Oden LLC

  • Behavior Analyst
  • Englewood, CO
  • NPI 1063016038
  NPD (past)
• Maura Stack Oden LLC

  • Community/Behavioral Health Agency
  • Glenwood Springs, CO
  • NPI 1194186148
  NPD (past)

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

{
    "created_epoch": "1529884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628208000000",
    "number": "1104311992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 OAK WAY AVE",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816014049",
            "telephone_number": "201-414-4303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 OAK WAY AVE",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816014049",
            "telephone_number": "720-670-9046",
            "fax_number": "720-294-0543"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1655 E University Dr",
            "address_purpose": "LOCATION",
            "city": "Tempe",
            "state": "AZ",
            "postal_code": "852818471",
            "country_code": "US",
            "telephone_number": "201-414-4303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "KATHARINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-25",
        "last_updated": "2021-08-06",
        "certification_date": "2021-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "AZ",
            "license": "18-57188",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CO",
            "license": "1-19-37557",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "W214517781",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• River Bridge Regional Center Inc.
• Roaring Fork Hospice
• Roaring Fork Rehab & Performance LLC
• Roaring Fork Surgical Associates Prof LLC
• Robert Adams Orthopaedics, PC
• Dillon Robinson
• Rocky Mountain Audiology LLC
• Rocky Mountain Healing Art Inc
• Rocky Mountain Home Health LLC
• Rocky Mountain Planned Parenthood, Inc.

• Behavior Analyst in Glenwood Springs, CO
• Providers in Glenwood Springs, CO by specialty
• Behavior Analyst in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.

Verify at the official NPI Registry.