Individual provider Active NPI

Megan Hassler, BCBA

  • Behavior Analyst
  • Edgewood, KY
National Provider Identifier
1265076673
Registry record updated Mar 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
265749 Issued in KY
Practice address
925 Dudley Pike
Edgewood, KY 41017-8120
Phone
(859) 360-3006
NPI assigned
Oct 30, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2023

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 265749 KY Primary

Addresses

Primary practice location

925 Dudley Pike
Edgewood, KY 41017-8120

Mailing address

1272 Bond St Ste 100
Naperville, IL 60563-3084
Phone (859) 360-3006

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address credentialling@cultivatebhe.com

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
265749KYMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Bluegrass Behavioral Health Group, LLC Behavior Analyst CurrentSince Jan 8, 2023 Accepting new patients

Locations

1272 Bond St
Ste 100
Naperville, IL 60563
Phone (855) 444-5446

5522 Taylor Mill Rd
Ste 10
Taylor Mill, KY 41015

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1572393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679875200000",
    "number": "1265076673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1272 BOND ST STE 100",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605633084",
            "telephone_number": "859-360-3006",
            "fax_number": "859-360-3053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 DUDLEY PIKE",
            "city": "EDGEWOOD",
            "state": "KY",
            "postal_code": "410178120",
            "telephone_number": "859-360-3006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASSLER",
        "first_name": "MEGAN",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-30",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "KY",
            "license": "265749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "credentialling@cultivatebhe.com",
            "affiliation": "N",
            "address_1": "925 Dudley Pike",
            "city": "Edgewood",
            "state": "KY",
            "country_code": "US",
            "postal_code": "410178120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Edgewood, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.