Individual provider Active NPI

Jirita Nate' Kinsey, BCBA

  • Behavior Analyst
  • Sedalia, MO
National Provider Identifier
1144947193
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
2022020922 Issued in MO
Practice address
309 S Ohio Ave
Sedalia, MO 65301-4431
Phone
(888) 515-1793
NPI assigned
Oct 20, 2022
Last updated
Feb 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 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 2022020922 MO Primary

Addresses

Primary practice location

309 S Ohio Ave
Sedalia, MO 65301-4431

Mailing address

309 S Ohio Ave
Sedalia, MO 65301-4431
Phone (314) 239-8305

Other practice location 1

1924 Southwood Dr
Lake Charles, LA 70605-4131
Phone (337) 240-8162

Other practice location 2

606 E Davis St
Burlington, NC 27215-5922
Phone (336) 513-8550

Other practice location 3

1905 Tybee Ln
Lake Charles, LA 70605-4172
Phone (337) 422-4181

Other practice location 4

309 S Ohio Ave
Sedalia, MO 65301-4431
Phone (888) 515-1793

Other names 1

  • Jirita Atkins Former name

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
2022020922MOMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehab LLC Behavior Analyst PastSince Jun 1, 2022 Accepting new patients
Complete Rehabilitation and Sports Physical Therapy, PC Past Accepting new patients
Renaissance 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1666224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1144947193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 S OHIO AVE",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653014431",
            "telephone_number": "314-239-8305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 S OHIO AVE",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653014431",
            "telephone_number": "888-515-1793"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1924 Southwood Dr",
            "address_purpose": "LOCATION",
            "city": "Lake Charles",
            "state": "LA",
            "postal_code": "706054131",
            "country_code": "US",
            "telephone_number": "337-240-8162",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "606 E Davis St",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "NC",
            "postal_code": "272155922",
            "country_code": "US",
            "telephone_number": "336-513-8550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1905 Tybee Ln",
            "address_purpose": "LOCATION",
            "city": "Lake Charles",
            "state": "LA",
            "postal_code": "706054172",
            "country_code": "US",
            "telephone_number": "337-422-4181",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "309 S Ohio Ave",
            "address_purpose": "LOCATION",
            "city": "Sedalia",
            "state": "MO",
            "postal_code": "653014431",
            "country_code": "US",
            "telephone_number": "888-515-1793",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KINSEY",
        "first_name": "JIRITA",
        "middle_name": "NATE'",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-20",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MO",
            "license": "2022020922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JIRITA",
            "last_name": "ATKINS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sedalia, MO

Sources for this page

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