Active NPI
Darrell Jansen
- Behavior Analyst
- Colorado Springs, CO
National Provider Identifier
1356903975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-23-68560
- Practice address
- 8415 Explorer Dr Ste 130
Colorado Springs, CO 80920-1034 - Phone
- (719) 900-5690
- NPI assigned
- Jul 3, 2019
- Sex
- Male
- Sole proprietor
- No
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 Analyst | 103K00000X | 1-23-68560 | Primary |
Addresses
Primary practice location
8415 Explorer Dr Ste 130
Colorado Springs, CO 80920-1034
Mailing address
4164 Austin Bluffs Pkwy Ste 221
Colorado Springs, CO 80918-2928
Phone (719) 728-5881
Other practice location 1
4164 Austin Bluffs Pkwy Ste 221
Colorado Springs, CO 80918-2928
Phone (719) 728-5881
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725753600000",
"number": "1356903975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4164 AUSTIN BLUFFS PKWY STE 221",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809182928",
"telephone_number": "719-728-5881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8415 EXPLORER DR STE 130",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809201034",
"telephone_number": "719-900-5690"
}
],
"practiceLocations": [
{
"address_1": "4164 Austin Bluffs Pkwy Ste 221",
"address_purpose": "LOCATION",
"city": "Colorado Springs",
"state": "CO",
"postal_code": "809182928",
"country_code": "US",
"telephone_number": "719-728-5881",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JANSEN",
"first_name": "DARRELL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-07-03",
"last_updated": "2024-09-08",
"certification_date": "2024-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1-23-68560",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.