Individual provider Active NPI

Ciera Rose Hines, RBT

  • Behavior Analyst
  • Colorado Springs, CO
National Provider Identifier
1740769652
Registry record updated Dec 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-20-45451 Issued in CO
Practice address
685 Citadel Dr E Ste 345
Colorado Springs, CO 80909-5326
Phone
(940) 363-7105
NPI assigned
Aug 10, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X 18-62775 CO
Behavior Analyst 103K00000X 1-20-45451 CO Primary

Addresses

Primary practice location

685 Citadel Dr E Ste 345
Colorado Springs, CO 80909-5326

Mailing address

PO Box 76510
Colorado Springs, CO 80970-6510

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
18-62775COMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Potential Behavior & Wellness LLC Behavior Analyst PastSince Jun 27, 2021 Accepting new patients
Peak Potential Behavior & Wellness LLC Behavior Analyst Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/980/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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": "1533859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1740769652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 76510",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809706510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "685 CITADEL DR E STE 345",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809095326",
            "telephone_number": "940-363-7105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINES",
        "first_name": "CIERA",
        "middle_name": "ROSE",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-10",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CO",
            "license": "18-62775",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CO",
            "license": "1-20-45451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; 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.