Individual provider Active NPI

Erica Stephanie Jowett Hirst, PH.D., BCBA-D, LBA

  • Behavior Analyst
  • Cape Girardeau, MO
National Provider Identifier
1285915538
Registry record updated Nov 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
2639 Issued in TX
Practice address
338 Broadway St Ste 301
Cape Girardeau, MO 63701-7331
Phone
(469) 298-8113
NPI assigned
Aug 31, 2011
Last updated
Nov 25, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2020

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 1-08-4514 KS
Behavior Analyst 103K00000X 2639 TX Primary

Addresses

Primary practice location

338 Broadway St Ste 301
Cape Girardeau, MO 63701-7331

Mailing address

338 Broadway St Ste 301
Cape Girardeau, MO 63701-7331
Phone (469) 298-8113

Other practice location 1

119 Delaware St
Leavenworth, KS 66048-2822
Phone (816) 802-6969

Other practice location 2

1333 W McDermott Dr Ste 150
Allen, TX 75013-3088
Phone (469) 519-7854

Other names 1

  • Erica Stephanie Severtson Former name

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2639TXMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Transformations, LLC Behavior Analyst Past 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": "1314748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606262400000",
    "number": "1285915538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "338 BROADWAY ST STE 301",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637017331",
            "telephone_number": "469-298-8113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "338 BROADWAY ST STE 301",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637017331",
            "telephone_number": "469-298-8113"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "119 Delaware St",
            "address_purpose": "LOCATION",
            "city": "Leavenworth",
            "state": "KS",
            "postal_code": "660482822",
            "country_code": "US",
            "telephone_number": "816-802-6969",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1333 W McDermott Dr Ste 150",
            "address_purpose": "LOCATION",
            "city": "Allen",
            "state": "TX",
            "postal_code": "750133088",
            "country_code": "US",
            "telephone_number": "469-519-7854",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOWETT HIRST",
        "first_name": "ERICA",
        "middle_name": "STEPHANIE",
        "name_prefix": "Dr.",
        "credential": "PH.D., BCBA-D, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-31",
        "last_updated": "2020-11-25",
        "certification_date": "2020-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "KS",
            "license": "1-08-4514",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "2639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERICA",
            "last_name": "SEVERTSON",
            "middle_name": "STEPHANIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cape Girardeau, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2020; 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.