Active NPI
Jacqueline Means, BCBA
- Behavior Analyst
- Muscatine, IA
National Provider Identifier
1124843495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BA-01083
- 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
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 | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| BA-01083 | IA | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pearl City Therapy LLC | Behavior Analyst | Current | Accepting new patients |
| Beyond Behavior ABA | Past | 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.
-
- Behavior Analyst
- Muscatine, IA
- NPI 1275322596
-
- Community/Behavioral Health Agency
- Cedar Rapids, IA
- NPI 1952036493
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.