Individual provider Active NPI

Katelyn Gruber, MED., BCBA

  • Behavior Analyst
  • Denver, CO
National Provider Identifier
1346854361
Registry record updated Apr 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-21-49119 Issued in CO
Practice address
6795 E Tennessee Ave Ste 427
Denver, CO 80224-1699
Phone
(303) 564-0751
NPI assigned
Sep 8, 2020
Last updated
Apr 24, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2021

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 1-21-49119 CO Primary

Addresses

Primary practice location

6795 E Tennessee Ave Ste 427
Denver, CO 80224-1699

Mailing address

275 S Cherokee St Apt 3409
Denver, CO 80223-1955
Phone (703) 340-4900

Other identifiers 1

IdentifierTypeStateIssuer
BACB456565OtherBACB

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address katelyngruber@withinmetherapy.com Direct Within Me Therapy, LLC
Direct Messaging Address kgruber@playtolearntherapies.com Direct Play to Learn Therapies LLC

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 Education

Practice roles

OrganizationSpecialtyStatusNew patients
Play to Learn Therapies LLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1599523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619222400000",
    "number": "1346854361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 S CHEROKEE ST APT 3409",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802231955",
            "telephone_number": "703-340-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6795 E TENNESSEE AVE STE 427",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802241699",
            "telephone_number": "303-564-0751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUBER",
        "first_name": "KATELYN",
        "credential": "MED., BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-08",
        "last_updated": "2021-04-24",
        "certification_date": "2021-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CO",
            "license": "1-21-49119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BACB",
            "identifier": "BACB456565",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "katelyngruber@withinmetherapy.com",
            "affiliation": "Y",
            "endpointDescription": "email",
            "affiliationName": "Within Me Therapy, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8128 Mandan Ter",
            "city": "Greenbelt",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207702638",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kgruber@playtolearntherapies.com",
            "affiliation": "Y",
            "endpointDescription": "email",
            "affiliationName": "Play to Learn Therapies LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1785 Kearney St",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802201546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2021; 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.