Active NPI
Chelsi Sherrill
- Behavior Analyst
- Colorado Springs, CO
National Provider Identifier
1396386389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 12364744
- Practice address
- 4412 N Chestnut St
Colorado Springs, CO 80907-3813 - Phone
- (111) 111-1111
- NPI assigned
- Oct 1, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-20-113508 | CA | |
| Behavior Analyst | 103K00000X | 12364744 | CO | Primary |
Addresses
Primary practice location
4412 N Chestnut St
Colorado Springs, CO 80907-3813
Mailing address
4412 N Chestnut St
Colorado Springs, CO 80907-3813
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
| License | State | Type | Specialty |
|---|---|---|---|
| 12364744 | CO | MD | Behavioral Analyst |
| RBT-20-113508 | CA | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| From the Root Behavioral Consulting | Behavior Analyst | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Behavior Analyst
- Denver, CO
- NPI 1417892605
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679356800000",
"number": "1396386389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4412 N CHESTNUT ST",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809073813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4412 N CHESTNUT ST",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809073813",
"telephone_number": "111-111-1111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHERRILL",
"first_name": "CHELSI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-01",
"last_updated": "2023-03-21",
"certification_date": "2023-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": "RBT-20-113508",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CO",
"license": "12364744",
"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 Mar 21, 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.