Individual provider Active NPI

Elizabeth K Bartosek

  • Behavior Analyst
  • Columbus, OH
National Provider Identifier
1154871762
Registry record updated Jan 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-18-29576 Issued in OH
Practice address
595 Siebert St
Columbus, OH 43206-2849
Phone
(847) 308-1038
Fax
(833) 672-3126
NPI assigned
Oct 6, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2025

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 1-18-29576 OH Primary

Addresses

Primary practice location

595 Siebert St
Columbus, OH 43206-2849

Mailing address

595 Siebert St
Columbus, OH 43206-2849
Phone (847) 308-1038

Other identifiers 1

IdentifierTypeStateIssuer
0496565MedicaidOH

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

Practice roles

OrganizationSpecialtyStatusNew patients
Collective Behavioral Therapy CurrentSince Feb 23, 2025 Accepting new patients
Collective Behavioral Therapy Behavior Analyst CurrentSince Jan 26, 2025 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": "1475712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737244800000",
    "number": "1154871762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 SIEBERT ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432062849",
            "telephone_number": "847-308-1038",
            "fax_number": "833-672-3126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 SIEBERT ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432062849",
            "telephone_number": "847-308-1038",
            "fax_number": "833-672-3126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTOSEK",
        "first_name": "ELIZABETH",
        "middle_name": "K",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-06",
        "last_updated": "2025-01-19",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "OH",
            "license": "1-18-29576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0496565",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2025; 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.