Individual provider Active NPI

Denise Renae Barberich, LBS

  • Behavior Analyst
  • Indiana, PA
National Provider Identifier
1265195051
Registry record updated Oct 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BH000428
Practice address
655 Church St Ste E330
Indiana, PA 15701-2788
Phone
(724) 463-3600
NPI assigned
Oct 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X BH000428 PA
Behavior Analyst 103K00000X BH000428 Primary

Addresses

Primary practice location

655 Church St Ste E330
Indiana, PA 15701-2788

Mailing address

16 Cedar Ave
Blairsville, PA 15717-1015
Phone (724) 762-5060

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
BH000428PAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Family Behavioral Resources, Inc. CurrentSince Oct 24, 2021 Accepting new patients
Pathways Human Services of Pennsylvania, LLC CurrentSince Oct 24, 2021 Accepting new patients

Locations

655 Church St
Ste E330
Indiana, PA 15701
Phone (724) 463-3600

Organizations & group practices 2

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": "1634601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634601600000",
    "number": "1265195051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 CEDAR AVE",
            "city": "BLAIRSVILLE",
            "state": "PA",
            "postal_code": "157171015",
            "telephone_number": "724-762-5060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 CHURCH ST STE E330",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157012788",
            "telephone_number": "724-463-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARBERICH",
        "first_name": "DENISE",
        "middle_name": "RENAE",
        "name_prefix": "Mrs.",
        "credential": "LBS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-19",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "BH000428",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "BH000428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indiana, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.