Active NPI
Jacob Emery Powell, MS, BCBA, LBA
- Behavior Analyst
- Lexington, KY
National Provider Identifier
1396298113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 163670
- Practice address
- 112 Dennis Dr
Lexington, KY 40503-2988 - Phone
- (859) 308-1392
- NPI assigned
- Jul 28, 2016
- 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 | 163670 | KY | Primary |
Addresses
Primary practice location
112 Dennis Dr
Lexington, KY 40503-2988
Mailing address
112 Dennis Dr
Lexington, KY 40503-2988
Phone (859) 308-1392
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-15-18467 | Other | BCBA CERTIFICATE |
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 163670 | KY | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767312000000",
"number": "1396298113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 DENNIS DR",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405032988",
"telephone_number": "859-308-1392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 DENNIS DR",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405032988",
"telephone_number": "859-308-1392"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWELL",
"first_name": "JACOB",
"middle_name": "EMERY",
"credential": "MS, BCBA, LBA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-07-28",
"last_updated": "2026-01-02",
"certification_date": "2026-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "KY",
"license": "163670",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBA CERTIFICATE",
"identifier": "1-15-18467",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.