NPIMap

Organization Active NPI

KMB Endeavors, Inc

Doing business as Elevation Ability Services

  • Behavior Analyst
  • Castle Rock, CO
National Provider Identifier
1669123766
Registry record updated Jan 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
KMB ENDEAVORS, INC
Doing business as
Elevation Ability Services
Elevation Abliity Services
Practice address
5865 Granite Way
Castle Rock, CO 80108-7529
Phone
(303) 493-1483
NPI assigned
Jan 11, 2022
Last updated
Jan 11, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
KMB ENDEAVORSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 11, 2022

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

Authorized official

Name
Dr. Keelee K. Burtch, PHD
Title
Director
Phone
(303) 493-1483

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

5865 Granite Way
Castle Rock, CO 80108-7529

Mailing address

5865 Granite Way
Castle Rock, CO 80108-7529
Phone (303) 493-1483

Other names 2

  • Elevation Ability Services Doing business as
  • Elevation Abliity Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
KMB Endeavors Inc3 organizations share this tax ID, including this one
Part of
KMB Endeavors Inc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1641859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641859200000",
    "number": "1669123766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5865 GRANITE WAY",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801087529",
            "telephone_number": "303-493-1483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5865 GRANITE WAY",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801087529",
            "telephone_number": "303-493-1483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KMB ENDEAVORS, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KMB ENDEAVORS",
        "enumeration_date": "2022-01-11",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A",
        "authorized_official_last_name": "BURTCH",
        "authorized_official_first_name": "KEELEE",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "303-493-1483",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elevation Ability Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Elevation Abliity Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Castle Rock, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.