Individual provider Active NPI

Amanda Nicole Kapes, L.S.W. & BCBA

  • Behavior Analyst
  • Wilkes Barre Township, PA
National Provider Identifier
1750794848
Registry record updated Oct 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-24-73479 Issued in PA
Practice address
679 Kidder St Ste 8
Wilkes Barre Township, PA 18702-6973
Phone
(570) 266-0651
NPI assigned
Jun 5, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW129649 PA
Behavior Analyst 103K00000X 1-24-73479 PA Primary

Addresses

Primary practice location

679 Kidder St Ste 8
Wilkes Barre Township, PA 18702-6973

Mailing address

209 Four Seasons Dr
Drums, PA 18222-1227
Phone (570) 956-6946

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
SW129649PAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Behavioral Health Services, LLC Social Worker PastSince Jul 17, 2022 Accepting new patients
Elite ABA Therapy LLC Behavior Analyst PastSince Oct 27, 2024 Accepting new patients
Tiffany Griffiths Psy D & Associates Inc Social Worker PastSince Feb 10, 2015 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1401926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729900800000",
    "number": "1750794848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 FOUR SEASONS DR",
            "city": "DRUMS",
            "state": "PA",
            "postal_code": "182221227",
            "telephone_number": "570-956-6946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "679 KIDDER ST STE 8",
            "city": "WILKES BARRE TOWNSHIP",
            "state": "PA",
            "postal_code": "187026973",
            "telephone_number": "570-266-0651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPES",
        "first_name": "AMANDA",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "L.S.W. & BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-05",
        "last_updated": "2024-10-26",
        "certification_date": "2024-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW129649",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "1-24-73479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilkes Barre Township, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.