Individual provider Active NPI

Lacey Adaire Porter

  • Behavior Analyst
  • Colorado Springs, CO
National Provider Identifier
1306338108
Registry record updated Feb 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
2020 N Academy Blvd Ste 278
Colorado Springs, CO 80909-1568
Phone
(719) 322-5137
NPI assigned
Jun 6, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2020

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 Primary

Addresses

Primary practice location

2020 N Academy Blvd Ste 278
Colorado Springs, CO 80909-1568

Mailing address

112 Spring St Unit 3
Fayetteville, NC 28305-4696
Phone (678) 877-5026

Other practice location 1

112 Spring St Unit 3
Fayetteville, NC 28305-4696
Phone (678) 877-5026

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

Practice roles

OrganizationSpecialtyStatusNew patients
Believe and Achieve Therapy Services, LLC Behavior Analyst CurrentSince Feb 16, 2020 Accepting new patients
Achievements ABA Therapy Ga LLC Behavior Analyst Past Accepting new patients

Locations

2020 N Academy Blvd
Ste 278
Colorado Springs, CO 80909
Phone (719) 302-3111

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": "1528243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581638400000",
    "number": "1306338108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 SPRING ST UNIT 3",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283054696",
            "telephone_number": "678-877-5026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 N ACADEMY BLVD STE 278",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809091568",
            "telephone_number": "719-322-5137"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "112 Spring St Unit 3",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283054696",
            "country_code": "US",
            "telephone_number": "678-877-5026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PORTER",
        "first_name": "LACEY",
        "middle_name": "ADAIRE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-06",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.