Individual provider Active NPI

Olivia Lacewell

  • Assistant Behavior Analyst
  • Colorado Springs, CO
National Provider Identifier
1235645680
Registry record updated Apr 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistant Behavior AnalystTaxonomy code 106E00000X
Practice address
5446 N Academy Blvd Ste 105
Colorado Springs, CO 80918-3668
Phone
(719) 598-5555
NPI assigned
Dec 21, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Assistant Behavior Analyst 106E00000X Primary

Addresses

Primary practice location

5446 N Academy Blvd Ste 105
Colorado Springs, CO 80918-3668

Mailing address

904 Mountain Lion Cir Ste 500
Harker Heights, TX 76548-5725
Phone (800) 345-0448

Other practice location 1

5446 N Academy Blvd
Colorado Springs, CO 80918-3644
Phone (719) 598-5555

Other practice location 2

1930 Frequent Flyer Pt
Colorado Springs, CO 80915-1500
Phone (719) 579-6440

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

NPI Registry JSON

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

{
    "created_epoch": "1513814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682035200000",
    "number": "1235645680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 MOUNTAIN LION CIR STE 500",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "765485725",
            "telephone_number": "800-345-0448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5446 N ACADEMY BLVD STE 105",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809183668",
            "telephone_number": "719-598-5555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5446 N Academy Blvd",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809183644",
            "country_code": "US",
            "telephone_number": "719-598-5555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1930 Frequent Flyer Pt",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809151500",
            "country_code": "US",
            "telephone_number": "719-579-6440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LACEWELL",
        "first_name": "OLIVIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-21",
        "last_updated": "2023-04-21",
        "certification_date": "2022-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2023; 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.