Individual provider Active NPI

Kelleen Eve Covington, MS, BCBA

  • Behavior Analyst
  • Hixson, TN
National Provider Identifier
1316404692
Registry record updated May 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
1961 Northpoint Blvd Ste 140
Hixson, TN 37343-4999
Phone
(423) 498-9051
NPI assigned
Feb 22, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X BACB507414 GA
Assistant Behavior Analyst 106E00000X BACB507414 GA
Behavior Technician 106S00000X
Behavior Analyst 103K00000X TN Primary

Addresses

Primary practice location

1961 Northpoint Blvd Ste 140
Hixson, TN 37343-4999

Mailing address

1961 Northpoint Blvd Ste 140
Hixson, TN 37343-4999
Phone (423) 498-9051

Other practice location 1

557 Pinewood Cir
Fort Oglethorpe, GA 30742-3044
Phone (559) 392-3711

Other practice location 2

20 N DeWitt Ave
Clovis, CA 93612-0311
Phone (559) 575-8172

Other practice location 3

37 Fernwood Dr Apt 1A
Fort Oglethorpe, GA 30742-3233
Phone (559) 392-3711

Other practice location 4

3 Central Plz
Rome, GA 30161-3233
Phone (559) 392-3711

Other practice location 5

260 Peachtree St NW Ste 2200
Atlanta, GA 30303-1292
Phone (559) 392-3711

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
Master of Science

State licenses

LicenseStateTypeSpecialty
BACB507414GAMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1550793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683849600000",
    "number": "1316404692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1961 NORTHPOINT BLVD STE 140",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373434999",
            "telephone_number": "423-498-9051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1961 NORTHPOINT BLVD STE 140",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373434999",
            "telephone_number": "423-498-9051"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "557 Pinewood Cir",
            "address_purpose": "LOCATION",
            "city": "Fort Oglethorpe",
            "state": "GA",
            "postal_code": "307423044",
            "country_code": "US",
            "telephone_number": "559-392-3711",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20 N DeWitt Ave",
            "address_purpose": "LOCATION",
            "city": "Clovis",
            "state": "CA",
            "postal_code": "936120311",
            "country_code": "US",
            "telephone_number": "559-575-8172",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "37 Fernwood Dr Apt 1A",
            "address_purpose": "LOCATION",
            "city": "Fort Oglethorpe",
            "state": "GA",
            "postal_code": "307423233",
            "country_code": "US",
            "telephone_number": "559-392-3711",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3 Central Plz",
            "address_purpose": "LOCATION",
            "city": "Rome",
            "state": "GA",
            "postal_code": "301613233",
            "country_code": "US",
            "telephone_number": "559-392-3711",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "260 Peachtree St NW Ste 2200",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303031292",
            "country_code": "US",
            "telephone_number": "559-392-3711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COVINGTON",
        "first_name": "KELLEEN",
        "middle_name": "EVE",
        "credential": "MS, BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-22",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "GA",
            "license": "BACB507414",
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "GA",
            "license": "BACB507414",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hixson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2023; 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.