Individual provider Active NPI

Erin K Reed

  • Behavior Analyst
  • Canby, OR
National Provider Identifier
1720452469
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
B-10190895 Issued in OR
Practice address
181 N Grant St Ste 204
Canby, OR 97013-3600
Phone
(971) 917-7881
Fax
(503) 506-0499
NPI assigned
Nov 18, 2015
Last updated
Sep 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

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 B-10190895 OR Primary

Addresses

Primary practice location

181 N Grant St Ste 204
Canby, OR 97013-3600

Mailing address

181 N Grant St Ste 204
Canby, OR 97013-3600
Phone (971) 917-7881

Other identifiers 1

IdentifierTypeStateIssuer
500797658MedicaidOR

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
B-10190895ORMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Empower and Thrive Behavioral Services, LLC Behavior Analyst CurrentSince Oct 1, 2023 Accepting new patients
Connections PDX LLC PastSince Mar 1, 2022 Accepting new patients
Aka Consulting Behavior Analyst PastSince Feb 13, 2022 Accepting new patients

Locations

181 N Grant St
Ste 204
Canby, OR 97013
Phone (971) 917-7881

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1447804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1720452469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 N GRANT ST STE 204",
            "city": "CANBY",
            "state": "OR",
            "postal_code": "970133600",
            "telephone_number": "971-917-7881",
            "fax_number": "503-506-0499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 N GRANT ST STE 204",
            "city": "CANBY",
            "state": "OR",
            "postal_code": "970133600",
            "telephone_number": "971-917-7881",
            "fax_number": "503-506-0499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "ERIN",
        "middle_name": "K",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-18",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "OR",
            "license": "B-10190895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500797658",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canby, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; 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.