Active NPI
Kelly Jo Counts
- Behavior Technician
- Huntingburg, IN
National Provider Identifier
1295543734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 1112 S Main St
Huntingburg, IN 47542-9164 - Phone
- (812) 589-7343
- NPI assigned
- Dec 30, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | IN | Primary |
Addresses
Primary practice location
1112 S Main St
Huntingburg, IN 47542-9164
Mailing address
4501 Atkins LN
Evansville, IN 47725-8973
Phone (812) 589-7343
Other practice location 1
564 Normandy Dr
Evansville, IN 47715-2615
Phone (812) 589-7343
Other practice location 2
403 E 2nd Ave
Huntingburg, IN 47542-9052
Phone (812) 589-7343
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1735516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735516800000",
"number": "1295543734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4501 ATKINS LN",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477258973",
"telephone_number": "812-589-7343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1112 S MAIN ST",
"city": "HUNTINGBURG",
"state": "IN",
"postal_code": "475429164",
"telephone_number": "812-589-7343"
}
],
"practiceLocations": [
{
"address_1": "564 Normandy Dr",
"address_purpose": "LOCATION",
"city": "Evansville",
"state": "IN",
"postal_code": "477152615",
"country_code": "US",
"telephone_number": "812-589-7343",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "403 E 2nd Ave",
"address_purpose": "LOCATION",
"city": "Huntingburg",
"state": "IN",
"postal_code": "475429052",
"country_code": "US",
"telephone_number": "812-589-7343",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COUNTS",
"first_name": "KELLY",
"middle_name": "JO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-12-30",
"last_updated": "2024-12-30",
"certification_date": "2024-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "IN",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntingburg, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.