Jessica Ann Vogt, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-20-42578 Issued in CO

Practice address

155 Printers Pkwy
Colorado Springs, CO 80910-6100

Phone

(719) 540-2160

NPI assigned

Jun 12, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Jessica Ann Diversi Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Devoted Autism Therapy LLC

  • Community/Behavioral Health Agency
  • Colorado Springs, CO
  • NPI 1760196745
  NPD Authorized official

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

{
    "created_epoch": "1591920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1265057475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10262 LUNETH DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809251470",
            "telephone_number": "252-402-0513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 PRINTERS PKWY",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809106100",
            "telephone_number": "719-540-2160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOGT",
        "first_name": "JESSICA",
        "middle_name": "ANN",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-12",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "1-20-42578",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CO",
            "license": "1-20-42578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jdiversi@fscautism.com",
            "affiliation": "Y",
            "endpointDescription": "Business Email",
            "affiliationName": "Family Support Center of Colorado, LLC",
            "address_1": "155 Printers Pkwy",
            "city": "Colorado Springs",
            "state": "CO",
            "country_code": "US",
            "postal_code": "809106100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "DIVERSI",
            "middle_name": "ANN",
            "credential": "BCBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Timothy C Vogel, FNP
• Jennifer Vogelgesang
• Lisa N Vogelgesang
• Kyle C Voget, MD
• Dylan Michael Vogt, RPH
• Julia Vogt
• Meghan Vogt, LAC
• Robert P Vogt, M.D.
• Voithos Surgical Services LLC
• Charly Volk

• Behavior Analyst in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Behavior Analyst in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.