Individual provider Active NPI

Kelsea Elizabeth Magel, MA, MS, BCBA, RBT

  • Behavior Analyst
  • Longmont, CO
National Provider Identifier
1134622145
Registry record updated Oct 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-20-44611 Issued in CO
Practice address
1233 Sherman Dr
Longmont, CO 80501-6133
Phone
(720) 449-6676
NPI assigned
Mar 15, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-16-22140 CO
Behavior Technician 106S00000X CO
Behavior Analyst 103K00000X 1-20-44611 CO Primary

Addresses

Primary practice location

1233 Sherman Dr
Longmont, CO 80501-6133

Mailing address

1233 Sherman Dr
Longmont, CO 80501-6133
Phone (720) 449-6676

Other practice location 1

2110 E Flamingo Rd Ste 150
Las Vegas, NV 89119-5190

Other practice location 2

3100 N Academy Blvd Ste 215
Colorado Springs, CO 80917-5332

Other practice location 3

3100 N Academy Blvd Ste 215
Colorado Springs, CO 80917-5332

Other practice location 4

3100 N Academy Blvd Ste 215
Colorado Springs, CO 80917-5332
Phone (719) 358-9603

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 Arts, Master of Science

State licenses

LicenseStateTypeSpecialty
RBT-16-22140COMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Autism & Behavioral Solutions Behavior Analyst Past Accepting new patients
Lighthouse Neurofeedback & Behavior Analysis, Inc. Behavior Analyst PastSince Nov 1, 2020 Accepting new patients
Southwest Autism & Behavioral Solutions, LLC 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": "1521072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603584000000",
    "number": "1134622145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1233 SHERMAN DR",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805016133",
            "telephone_number": "720-449-6676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 SHERMAN DR",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805016133",
            "telephone_number": "720-449-6676"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2110 E Flamingo Rd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891195190",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3100 N Academy Blvd Ste 215",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809175332",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3100 N Academy Blvd Ste 215",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809175332",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3100 N Academy Blvd Ste 215",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809175332",
            "country_code": "US",
            "telephone_number": "719-358-9603",
            "fax_number": "866-833-2056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAGEL",
        "first_name": "KELSEA",
        "middle_name": "ELIZABETH",
        "credential": "MA, MS, BCBA, RBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-15",
        "last_updated": "2020-10-25",
        "certification_date": "2020-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CO",
            "license": "RBT-16-22140",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CO",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CO",
            "license": "1-20-44611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2020; 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.