Active NPI
Jordan Johnson, BCBA
- Behavior Analyst
- Greenfield, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-17-25355
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300011398 | Medicaid | IN |
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy and Behavior Services, LLC | Behavior Analyst | Current | 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.
-
dba Applied Therapy and Behavior Services
- Multi-Specialty Clinic/Center
- Greenfield, IN
- NPI 1962937656
Behavior Analyst
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.