Individual provider Active NPI

Stephanie Shae Masini, BCBA

  • Behavior Analyst
  • Colorado Springs, CO
National Provider Identifier
1487163812
Registry record updated Jul 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-17-27068 Issued in CO
Practice address
6197 Lehman Dr Ste 102
Colorado Springs, CO 80918-3446
Phone
(719) 225-4655
NPI assigned
Sep 28, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2019

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 1-17-27068 CO Primary

Addresses

Primary practice location

6197 Lehman Dr Ste 102
Colorado Springs, CO 80918-3446

Mailing address

390 Union Blvd Ste 300
Lakewood, CO 80228-6514
Phone (303) 989-8196

Other practice location 1

1200 W South Boulder Rd Ste 204
Lafayette, CO 80026-2833
Phone (720) 837-2348

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
Mindcolor Autism LLC Behavior Analyst Past Accepting new patients
Behavior Services of the Rockies Behavior Analyst Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1506556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563494400000",
    "number": "1487163812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 UNION BLVD STE 300",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802286514",
            "telephone_number": "303-989-8196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6197 LEHMAN DR STE 102",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809183446",
            "telephone_number": "719-225-4655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 W South Boulder Rd Ste 204",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "CO",
            "postal_code": "800262833",
            "country_code": "US",
            "telephone_number": "720-837-2348",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASINI",
        "first_name": "STEPHANIE",
        "middle_name": "SHAE",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-28",
        "last_updated": "2019-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CO",
            "license": "1-17-27068",
            "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 Jul 19, 2019; 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.