Active NPI
Jessica Lynn Conedy, M.ED., BCBA
- Behavior Analyst
- Colorado Springs, CO
National Provider Identifier
1588915185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-12-11883
- Practice address
- 1155 Kelly Johnson Blvd Ste. 150
Colorado Springs, CO 80920 - Phone
- (719) 354-2582
- Fax
- (720) 493-4632
- NPI assigned
- Sep 24, 2012
- Last updated
- Mar 28, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-12-11883 | HI | Primary |
Addresses
Primary practice location
1155 Kelly Johnson Blvd Ste. 150
Colorado Springs, CO 80920
Mailing address
1155 Kelly Johnson Blvd Ste. 150
Colorado Springs, CO 80920
Phone (719) 354-2582
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 46473041 | Medicaid | CO |
Other names 1
- Jessica Lynn Carvalho
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 Education
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meaningful Outcomes, LLC | Behavior Analyst | Past | Accepting new patients |
| Dawson Thomas, Inc. | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Behavior Analyst
- Reno, NV
- NPI 1588372288
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490659200000",
"number": "1588915185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1155 KELLY JOHNSON BLVD STE. 150",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "80920",
"telephone_number": "719-354-2582",
"fax_number": "720-493-4632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1155 KELLY JOHNSON BLVD STE. 150",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "80920",
"telephone_number": "719-354-2582",
"fax_number": "720-493-4632"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONEDY",
"first_name": "JESSICA",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "M.ED., BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-24",
"last_updated": "2017-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "HI",
"license": "1-12-11883",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "46473041",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "CARVALHO",
"middle_name": "LYNN",
"credential": "M.ED., BCBA",
"code": "1",
"type": "Former Name"
}
]
}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 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.