Individual provider Active NPI

Regan Hollingsworth, BCBA

  • Behavior Analyst
  • Colorado Springs, CO
National Provider Identifier
1386150860
Registry record updated Apr 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
1706 N Circle Dr
Colorado Springs, CO 80909-2409
Phone
(719) 354-5297
NPI assigned
Dec 20, 2017
Last updated
Apr 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2023

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 Primary

Addresses

Primary practice location

1706 N Circle Dr
Colorado Springs, CO 80909-2409

Mailing address

2232 Drakestone Dr
Colorado Springs, CO 80909-2102
Phone (303) 517-1707

Other practice location 1

4815 List Dr Ste 107
Colorado Springs, CO 80919-3340
Phone (303) 517-1707

Other practice location 2

5423 Spoked Wheel Dr
Colorado Springs, CO 80923-8741
Phone (719) 354-5297

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
Adventure Learning Behavioral Interventions CurrentSince Oct 17, 2021 Accepting new patients
Adventure Learning Behavioral Interventions Behavior Analyst CurrentSince Oct 1, 2020 Accepting new patients
Bright Behavior, LLC Behavior Analyst Past Accepting new patients

Locations

1706 N Circle Dr
Colorado Springs, CO 80909
Phone (719) 354-5297

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, 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": "1513728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681344000000",
    "number": "1386150860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2232 DRAKESTONE DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809092102",
            "telephone_number": "303-517-1707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 N CIRCLE DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809092409",
            "telephone_number": "719-354-5297"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4815 List Dr Ste 107",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809193340",
            "country_code": "US",
            "telephone_number": "303-517-1707",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5423 Spoked Wheel Dr",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809238741",
            "country_code": "US",
            "telephone_number": "719-354-5297",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLLINGSWORTH",
        "first_name": "REGAN",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-20",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "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 Apr 13, 2023; 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.