Individual provider Active NPI

McKenzie Hall

  • Behavior Technician
  • Colorado Springs, CO
National Provider Identifier
1609595958
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-22-231047 Issued in CO
Practice address
1706 N Circle Dr
Colorado Springs, CO 80909-2409
Phone
(719) 354-5297
NPI assigned
Aug 22, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-22-231047 CO Primary

Addresses

Primary practice location

1706 N Circle Dr
Colorado Springs, CO 80909-2409

Mailing address

1605 Gatehouse Cir N Apt 202
Colorado Springs, CO 80904-4900
Phone (719) 321-3596

Other practice location 1

1605 Gatehouse Cir N Apt 202
Colorado Springs, CO 80904-4900
Phone (719) 321-3596

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

LicenseStateTypeSpecialty
RBT-22-231047COMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventure Learning Behavioral Interventions CurrentSince Aug 28, 2022 Accepting new patients
Adventure Learning Behavioral Interventions CurrentSince Aug 28, 2022 Accepting new patients

Locations

1706 N Circle Dr
Colorado Springs, CO 80909
Phone (719) 354-5297

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": "1661126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1609595958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 GATEHOUSE CIR N APT 202",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809044900",
            "telephone_number": "719-321-3596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 N CIRCLE DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809092409",
            "telephone_number": "719-354-5297"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1605 Gatehouse Cir N Apt 202",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809044900",
            "country_code": "US",
            "telephone_number": "719-321-3596",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "MCKENZIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-22",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CO",
            "license": "RBT-22-231047",
            "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 Aug 22, 2022; 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.