NPIMap

Organization Active NPI

Creative Kids Behavioral Consulting

  • Behavior Analyst
  • Colorado Springs, CO
National Provider Identifier
1245580216
Registry record updated Oct 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
CREATIVE KIDS BEHAVIORAL CONSULTING
Practice address
408 W Rockrimmon Blvd Unit a
Colorado Springs, CO 80919-1738
Phone
(414) 559-6678
Fax
(719) 213-2098
NPI assigned
Sep 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2021

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

Authorized official

Name
Corrine KirschNPI 1659544039
Title
Behavior Analyst/Manager
Phone
(414) 559-6678

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 AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

408 W Rockrimmon Blvd Unit a
Colorado Springs, CO 80919-1738

Mailing address

6660 Delmonico Dr Ste D214
Colorado Springs, CO 80919-1899

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1347840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633305600000",
    "number": "1245580216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6660 DELMONICO DR STE D214",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809191899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 W ROCKRIMMON BLVD UNIT A",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809191738",
            "telephone_number": "414-559-6678",
            "fax_number": "719-213-2098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE KIDS BEHAVIORAL CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-17",
        "last_updated": "2021-10-04",
        "certification_date": "2021-09-17",
        "status": "A",
        "authorized_official_last_name": "KIRSCH",
        "authorized_official_first_name": "CORRINE",
        "authorized_official_title_or_position": "BEHAVIOR ANALYST/MANAGER",
        "authorized_official_telephone_number": "414-559-6678"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "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 Oct 4, 2021; 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.