Marissa Jo Lumpkin, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-23-69856

Practice address

535 Maine St Ste 13
Quincy, IL 62301-3950

Phone

(217) 577-2176

Fax

(888) 216-1181

NPI assigned

Aug 3, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Try Love Behavioral Center, LLC

  • Behavior Analyst
  • Quincy, IL
  • NPI 1306550413
  NPD Authorized official

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

{
    "created_epoch": "1596412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1598375727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 MAINE ST STE 13",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623013950",
            "telephone_number": "217-577-2176",
            "fax_number": "888-216-1181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 MAINE ST STE 13",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623013950",
            "telephone_number": "217-577-2176",
            "fax_number": "888-216-1181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUMPKIN",
        "first_name": "MARISSA",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-03",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-23-69856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIOR ANALYST CERTIFICATION BOARD",
            "identifier": "1-23-69856",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIOR ANALYST CERTIFICATION BOARD",
            "identifier": "BACB577742",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stacy Lowary, FNP-C
• Katyann Marie Lucey, PA
• Linda J Lucke, R. PH.
• Heidi Ludwig, NP
• Sarah A Luebke
• Kelli Elizabeth Lunt, LMSW
• Nathan Lunt
• Lutheran Child and Family Service of Illinois
• Jennifer Ann Lyons
• Nicole Lyons, M.S. CCC-SLP

• Behavior Analyst in Quincy, IL
• Providers in Quincy, IL by specialty
• Behavior Analyst in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.