Carolyn Anne Madden, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-20-131144 Issued in CO

Practice address

1233 Sherman Dr
Longmont, CO 80501-6133

Phone

(720) 449-6676

NPI assigned

Aug 20, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Lighthouse Neurofeedback & Behavior Analysis, Inc.

  • Mental Health Counselor
  • Longmont, CO
  • NPI 1477937522

  Behavior Technician

  NPD (past)

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

{
    "created_epoch": "1597881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597881600000",
    "number": "1306458203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 EVA PEAK DR",
            "city": "ERIE",
            "state": "CO",
            "postal_code": "805166218",
            "telephone_number": "720-788-2218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 SHERMAN DR",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805016133",
            "telephone_number": "720-449-6676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDEN",
        "first_name": "CAROLYN",
        "middle_name": "ANNE",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-20",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CO",
            "license": "RBT-20-131144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Mack, PH.D.
• Michael Charles Mackenzie, M.A.
• Hannah Louise Mackie, M.A., CCC-SLP
• Sandra L. Mackintosh, LCSW
• Jonathan Maczko
• Christopher C Madden, MD
• Reilly Madden, MS CCC-SLP
• Abigail Maddox
• Tammy J Madewell, RDH
• Karyn Devette Madison

• Behavior Technician in Longmont, CO
• Providers in Longmont, CO by specialty
• Behavior Technician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.