Individual provider Active NPI

Casie Jahnigen

  • Behavior Analyst
  • Baltimore, MD
National Provider Identifier
1245884022
Registry record updated Oct 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
12045266 Issued in MD
Practice address
1100 S Bouldin St
Baltimore, MD 21224-5001
Phone
(443) 851-7424
NPI assigned
Jul 30, 2019
Last updated
Oct 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2024

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 12045266 MD Primary

Addresses

Primary practice location

1100 S Bouldin St
Baltimore, MD 21224-5001

Mailing address

1100 S Bouldin St
Baltimore, MD 21224-5001
Phone (443) 720-6211

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

State licenses

LicenseStateTypeSpecialty
12045266MDMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Rise for Autism, Inc. Behavior Analyst PastSince May 16, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1564444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728172800000",
    "number": "1245884022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 S BOULDIN ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212245001",
            "telephone_number": "443-720-6211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 S BOULDIN ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212245001",
            "telephone_number": "443-851-7424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAHNIGEN",
        "first_name": "CASIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-30",
        "last_updated": "2024-10-06",
        "certification_date": "2024-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MD",
            "license": "12045266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2024; 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.