Individual provider Active NPI

Kaitlyn Marie Johnson, BSW

  • Behavior Technician
  • Huntsville, AL
National Provider Identifier
1346825916
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
2117 Metro Cir SW Ste a
Huntsville, AL 35801-5343
Phone
(256) 701-4410
NPI assigned
Mar 15, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

2117 Metro Cir SW Ste a
Huntsville, AL 35801-5343

Mailing address

2117 Metro Cir SW Ste a
Huntsville, AL 35801-5343
Phone (256) 701-4410

Other practice location 1

5767 Cove Commons Dr
Brownsboro, AL 35741-9744
Phone (256) 503-4171

Other practice location 2

2409 Homer Clayton Drive
Guntersville, AL 35976
Phone (256) 582-3203

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
Everything on the Spectrum LLC Behavior Technician CurrentSince Aug 25, 2024 Accepting new patients
Hope Clinical Care PastSince Mar 1, 2023 Accepting new patients

Locations

2117 Metro Cir SW
#A
Huntsville, AL 35801
Phone (256) 701-3134

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": "1615766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1346825916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2117 METRO CIR SW STE A",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015343",
            "telephone_number": "256-701-4410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2117 METRO CIR SW STE A",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015343",
            "telephone_number": "256-701-4410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5767 Cove Commons Dr",
            "address_purpose": "LOCATION",
            "city": "Brownsboro",
            "state": "AL",
            "postal_code": "357419744",
            "country_code": "US",
            "telephone_number": "256-503-4171",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2409 Homer Clayton Drive",
            "address_purpose": "LOCATION",
            "city": "Guntersville",
            "state": "AL",
            "postal_code": "35976",
            "country_code": "US",
            "telephone_number": "256-582-3203",
            "fax_number": "256-582-3216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KAITLYN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "BSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-15",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.