Organization Active NPI

Hoosier Goals Consultations

  • Behavior Analyst
  • Peru, IN
National Provider Identifier
1245012095
Registry record updated Oct 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
HOOSIER GOALS CONSULTATIONS
Practice address
1721 W 400 S
Peru, IN 46970-7925
Phone
(765) 469-1877
NPI assigned
Oct 17, 2023
Last updated
Oct 17, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2023

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

Authorized official

Name
Makinsey Smith, MA, BCBANPI 1770200347
Title
Owner/Bcba
Phone
(765) 469-1877

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

1721 W 400 S
Peru, IN 46970-7925

Mailing address

1721 W 400 S
Peru, IN 46970-7925

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1697500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697500800000",
    "number": "1245012095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 W 400 S",
            "city": "PERU",
            "state": "IN",
            "postal_code": "469707925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 W 400 S",
            "city": "PERU",
            "state": "IN",
            "postal_code": "469707925",
            "telephone_number": "765-469-1877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOOSIER GOALS CONSULTATIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-17",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MAKINSEY",
        "authorized_official_title_or_position": "OWNER/BCBA",
        "authorized_official_telephone_number": "765-469-1877",
        "authorized_official_credential": "MA, BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peru, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.