Individual provider Active NPI

Jordan Johnson, BCBA

  • Behavior Analyst
  • Greenfield, IN
National Provider Identifier
1659824910
Registry record updated Nov 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-17-25355 Issued in IN
Practice address
1834 Fields Blvd
Greenfield, IN 46140-3029
Phone
(814) 602-3287
NPI assigned
Aug 3, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-17-25355 IN Primary

Addresses

Primary practice location

1834 Fields Blvd
Greenfield, IN 46140-3029

Mailing address

1834 Fields Blvd
Greenfield, IN 46140-3029
Phone (317) 527-5437

Other practice location 1

2004 1/2 S Memorial Dr
New Castle, IN 47362-1220
Phone (317) 527-5437

Other practice location 2

2519 E 10th St Ste A
Anderson, IN 46012-4464
Phone (317) 527-5437

Other practice location 3

1722 W 16th St
Indianapolis, IN 46202-2031
Phone (317) 527-5437

Other practice location 4

10 Coronado Rd
Indianapolis, IN 46234-2526
Phone (317) 527-5437

Other identifiers 1

IdentifierTypeStateIssuer
300011398MedicaidIN

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

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy and Behavior Services, LLC Behavior Analyst CurrentSince Nov 10, 2019 Accepting new patients

Locations

2519 E 10th St
Ste A
Anderson, IN 46012
Phone (317) 527-5437

1834 Fields Blvd
Greenfield, IN 46140
Phone (317) 462-5358

1722 W 16th St
Indianapolis, IN 46202
Phone (317) 527-5437

10 Coronado Rd
Indianapolis, IN 46234
Phone (317) 527-5437

2004 S Memorial Dr
New Castle, IN 47362
Phone (317) 527-5437

Organizations & group practices 1

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": "1470182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572912000000",
    "number": "1659824910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1834 FIELDS BLVD",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461403029",
            "telephone_number": "317-527-5437",
            "fax_number": "317-318-1356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1834 FIELDS BLVD",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461403029",
            "telephone_number": "814-602-3287"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2004 1/2 S Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "New Castle",
            "state": "IN",
            "postal_code": "473621220",
            "country_code": "US",
            "telephone_number": "317-527-5437",
            "fax_number": "317-318-1356",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2519 E 10th St Ste A",
            "address_purpose": "LOCATION",
            "city": "Anderson",
            "state": "IN",
            "postal_code": "460124464",
            "country_code": "US",
            "telephone_number": "317-527-5437",
            "fax_number": "317-318-1356",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1722 W 16th St",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462022031",
            "country_code": "US",
            "telephone_number": "317-527-5437",
            "fax_number": "317-318-1356",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Coronado Rd",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462342526",
            "country_code": "US",
            "telephone_number": "317-527-5437",
            "fax_number": "317-318-1356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JORDAN",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-03",
        "last_updated": "2019-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IN",
            "license": "1-17-25355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300011398",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; 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.