Patricia E Kostoff, MA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-20-44403

Practice address

1823 Sunset PL Ste C
Longmont, CO 80501-6544

Phone

(720) 771-5800

NPI assigned

Mar 22, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

Practice roles

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.

• Lighthouse Neurofeedback & Behavior Analysis, Inc.

  • Mental Health Counselor
  • Longmont, CO
  • NPI 1477937522

  Behavior Analyst

  NPD (past)
• Lighthouse Neurofeedback & Behavior Analysis, Inc.

  • Behavior Analyst
  • Longmont, CO
  • NPI 1972010064
  NPD (past)

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

{
    "created_epoch": "1521676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1669976650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1823 SUNSET PL STE C",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805016544",
            "telephone_number": "720-771-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1823 SUNSET PL STE C",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805016544",
            "telephone_number": "720-771-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSTOFF",
        "first_name": "PATRICIA",
        "middle_name": "E",
        "name_prefix": "Miss",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-22",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-20-44403",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106S00000X",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gregg A. Koldenhoven, MD
• Bryant Koopmans
• Courtney Korban, CPM
• Katherine Colleen Korenek, RN
• Martin A Koschnitzke, MD
• Robin Kotula, N.P.
• Matthew D Kovach, DMD
• Craig Marshall Krager, ATC
• Karen Kral, M.A, LPC
• Amanda Kramer

• Behavior Analyst in Longmont, CO
• Providers in Longmont, CO by specialty
• Behavior Analyst in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; 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.