Individual provider Active NPI

Jamie Rae Frost, BCBA

  • Behavior Analyst
  • Brookfield, WI
National Provider Identifier
1356864367
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
187-140 Issued in WI
Practice address
13100 W Lisbon Rd Ste 600
Brookfield, WI 53005-2509
Phone
(414) 207-4175
NPI assigned
Jul 21, 2017
Sex
Female
Sole proprietor
No

Organizations & group practices 3

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.

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

State licenses

LicenseStateTypeSpecialty
187-140WIMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Neuropsychology and Treatment Associates, SC Past Accepting new patients
Mindcolor Autism LLC Behavior Analyst Past Accepting new patients
Wiebusch & Nicholson Center for Autism, Inc. Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 187-140 WI Primary

Addresses

NPPES NPI Registry

Primary practice location

13100 W Lisbon Rd Ste 600
Brookfield, WI 53005-2509

Mailing address

N27W23953 Paul Rd Ste 206
Pewaukee, WI 53072-6244

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 11, 2024.

{
    "created_epoch": "1500595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1356864367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N27W23953 PAUL RD STE 206",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530726244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13100 W LISBON RD STE 600",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530052509",
            "telephone_number": "414-207-4175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FROST",
        "first_name": "JAMIE",
        "middle_name": "RAE",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-21",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WI",
            "license": "187-140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.