Active NPI
Kristen Hosie, MS, CCSOT, BCBA
- Behavior Analyst
- Salem, OR
National Provider Identifier
1164767505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- ABAB10174694
- Practice address
- 2260 Judson St SE
Salem, OR 97302-1273 - Phone
- (503) 758-2975
- NPI assigned
- Dec 11, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | STB- T-10129963 | OR | |
| Behavior Analyst | 103K00000X | ABAB10174694 | OR | Primary |
Addresses
Primary practice location
2260 Judson St SE
Salem, OR 97302-1273
Mailing address
7955 S Mark Rd
Canby, OR 97013-9524
Phone (503) 758-2975
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| STB- T-10129963 | OR | MD | Mental Health Counselor |
| ABAB10174694 | OR | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457308800000",
"number": "1164767505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7955 S MARK RD",
"city": "CANBY",
"state": "OR",
"postal_code": "970139524",
"telephone_number": "503-758-2975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2260 JUDSON ST SE",
"city": "SALEM",
"state": "OR",
"postal_code": "973021273",
"telephone_number": "503-758-2975"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOSIE",
"first_name": "KRISTEN",
"name_prefix": "Mrs.",
"credential": "MS, CCSOT, BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-12-11",
"last_updated": "2016-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "STB- T-10129963",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "OR",
"license": "ABAB10174694",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.