NPIMap

Individual provider Active NPI

Court Margaret Wilson

  • Behavior Analyst
  • Bremerton, WA
National Provider Identifier
1639599590
Registry record updated Jun 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
CG60458820 Issued in WA
Practice address
837 Callahan Dr Ste C
Bremerton, WA 98310-3368
Phone
(360) 240-0022
Fax
(360) 240-0023
NPI assigned
Apr 18, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X CG60458820 WA Primary
Mental Health Counselor 101YM0800X CG60458820 WA

Addresses

Primary practice location

837 Callahan Dr Ste C
Bremerton, WA 98310-3368

Mailing address

837 Callahan Dr Ste C
Bremerton, WA 98310-3368
Phone (360) 240-0022

Other practice location 1

231 SE Barrington Dr
Suite 203
Oak Harbor, WA 98277-3200
Phone (360) 240-0022

Other names 1

  • Courtney Margaret Peplow Former name

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
CG60458820WAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
L.E.a.P.S. and Beyond, Inc Behavior Analyst Past Accepting new patients
L.E.a.P.S and Beyond, 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1397779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656547200000",
    "number": "1639599590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "837 CALLAHAN DR STE C",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983103368",
            "telephone_number": "360-240-0022",
            "fax_number": "360-240-0023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "837 CALLAHAN DR STE C",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983103368",
            "telephone_number": "360-240-0022",
            "fax_number": "360-240-0023"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "231 SE Barrington Dr",
            "address_2": "Suite 203",
            "address_purpose": "LOCATION",
            "city": "Oak Harbor",
            "state": "WA",
            "postal_code": "982773200",
            "country_code": "US",
            "telephone_number": "360-240-0022",
            "fax_number": "360-240-0023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "COURT",
        "middle_name": "MARGARET",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-18",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WA",
            "license": "CG60458820",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "CG60458820",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "PEPLOW",
            "middle_name": "MARGARET",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bremerton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.