Individual provider Active NPI

Kristin Nicole Griffis, MA, BCBA, LBA

  • Behavior Analyst
  • Nicholasville, KY
National Provider Identifier
1619538675
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
288239 Issued in KY
Practice address
799 E Brannon Rd
Nicholasville, KY 40356-6038
Phone
(606) 280-5187
Fax
(859) 224-4675
NPI assigned
Jun 21, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-19-88542
Behavior Analyst 103K00000X 288239 KY Primary

Addresses

Primary practice location

799 E Brannon Rd
Nicholasville, KY 40356-6038

Mailing address

109 Wind Haven Dr
Nicholasville, KY 40356-8010

Other practice location 1

1013 Center Dr
Richmond, KY 40475-3841
Phone (859) 224-2273

Other practice location 2

3499 Blazer Pkwy Ste 170
Lexington, KY 40509-2823
Phone (859) 224-2273

Other practice location 3

117 E Jefferson St
Georgetown, KY 40324-1764
Phone (859) 224-2273

Other identifiers 2

IdentifierTypeStateIssuer
RBT-19-88542OtherRBT CERTIFICATE
1-23-68212OtherKYBACB

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 Arts

State licenses

LicenseStateTypeSpecialty
288239KYMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
The Story Therapies, LLC Behavior Analyst Current Accepting new patients
Marshall Pediatric Therapy, LLC 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": "1561075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1619538675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 WIND HAVEN DR",
            "city": "NICHOLASVILLE",
            "state": "KY",
            "postal_code": "403568010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "799 E BRANNON RD",
            "city": "NICHOLASVILLE",
            "state": "KY",
            "postal_code": "403566038",
            "telephone_number": "606-280-5187",
            "fax_number": "859-224-4675"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1013 Center Dr",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "KY",
            "postal_code": "404753841",
            "country_code": "US",
            "telephone_number": "859-224-2273",
            "fax_number": "859-224-4675",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3499 Blazer Pkwy Ste 170",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405092823",
            "country_code": "US",
            "telephone_number": "859-224-2273",
            "fax_number": "859-224-4675",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "117 E Jefferson St",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "KY",
            "postal_code": "403241764",
            "country_code": "US",
            "telephone_number": "859-224-2273",
            "fax_number": "859-224-4675",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIFFIS",
        "first_name": "KRISTIN",
        "middle_name": "NICOLE",
        "credential": "MA, BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-21",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": "RBT-19-88542",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "KY",
            "license": "288239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RBT CERTIFICATE",
            "identifier": "RBT-19-88542",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BACB",
            "identifier": "1-23-68212",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nicholasville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.