Active NPI
Kelsy Kay Glas, BA IN PSYCHOLOGY
- Behavior Technician
- Ankeny, IA
National Provider Identifier
1356052237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-22-246392
- Practice address
- 2825 S Ankeny Blvd
Ankeny, IA 50023-9417 - Phone
- (515) 598-7200
- NPI assigned
- Dec 12, 2022
- Last updated
- Dec 12, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-22-246392 | IA | Primary |
Addresses
Primary practice location
2825 S Ankeny Blvd
Ankeny, IA 50023-9417
Mailing address
12353 300TH St
Lamoni, IA 50140-2284
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
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-22-246392 | IA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670803200000",
"number": "1356052237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12353 300TH ST",
"city": "LAMONI",
"state": "IA",
"postal_code": "501402284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2825 S ANKENY BLVD",
"city": "ANKENY",
"state": "IA",
"postal_code": "500239417",
"telephone_number": "515-598-7200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLAS",
"first_name": "KELSY",
"middle_name": "KAY",
"credential": "BA IN PSYCHOLOGY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-12-12",
"last_updated": "2022-12-12",
"certification_date": "2022-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "IA",
"license": "RBT-22-246392",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ankeny, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.