Individual provider Active NPI

Jacqueline Means, BCBA

  • Behavior Analyst
  • Muscatine, IA
National Provider Identifier
1124843495
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BA-01083 Issued in IA
Practice address
2016 Cedar Plaza Dr Ste 7
Muscatine, IA 52761-2286
Phone
(563) 260-8317
Fax
(866) 496-4073
NPI assigned
Nov 20, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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 BA-01083 IA Primary

Addresses

Primary practice location

2016 Cedar Plaza Dr Ste 7
Muscatine, IA 52761-2286

Mailing address

215 4TH Ave SE Ste 300
Cedar Rapids, IA 52401-1844

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://lifeconnections.kasa-solutions.com/index.php Health Information Exchange (HIE)

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

State licenses

LicenseStateTypeSpecialty
BA-01083IAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Pearl City Therapy LLC Behavior Analyst Current Accepting new patients
Beyond Behavior ABA PastSince Nov 24, 2024 Accepting new patients

Organizations & group practices 2

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": "1732060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1124843495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 4TH AVE SE STE 300",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524011844",
            "fax_number": "866-496-4073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2016 CEDAR PLAZA DR STE 7",
            "city": "MUSCATINE",
            "state": "IA",
            "postal_code": "527612286",
            "telephone_number": "563-260-8317",
            "fax_number": "866-496-4073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEANS",
        "first_name": "JACQUELINE",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-20",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IA",
            "license": "BA-01083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://lifeconnections.kasa-solutions.com/index.php",
            "affiliation": "N",
            "endpointDescription": "EHR System - Kasa Practice Solutions",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "215 4th Ave SE Ste 300",
            "city": "Cedar Rapids",
            "state": "IA",
            "country_code": "US",
            "postal_code": "524011844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Muscatine, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; 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.