Active NPI
Michelle Kerska, Bcba, PC
- Behavior Analyst
- Lakewood, CO
National Provider Identifier
1760859656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1073382
- Legal business name
- MICHELLE KERSKA, BCBA, PC
- Practice address
- 7220 W Jefferson Ave
401
Lakewood, CO 80235-2031 - Phone
- (858) 531-0804
- NPI assigned
- Aug 26, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michelle Kerska, LCSW, BCBA
- Title
- Owner
- Phone
- (858) 531-0804
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1073382 | CA | Primary |
Addresses
Primary practice location
7220 W Jefferson Ave
401
Lakewood, CO 80235-2031
Mailing address
7220 W Jefferson Ave
401
Lakewood, CO 80235-2031
Phone (858) 531-0804
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 67775233 | Other | CO | MEDICAID HCBS WAIVER |
National Provider Directory
National Provider DirectoryLocations
7220 W Jefferson Ave
Ste 401
Lakewood, CO 80235
Phone (858) 531-0804
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Behavior Analyst
- Lttleton, CO
- NPI 1679709851
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440547200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1451952000000",
"number": "1760859656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7220 W JEFFERSON AVE",
"address_2": "401",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802352031",
"telephone_number": "858-531-0804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7220 W JEFFERSON AVE",
"address_2": "401",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802352031",
"telephone_number": "858-531-0804"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHELLE KERSKA, BCBA, PC",
"organizational_subpart": "NO",
"enumeration_date": "2015-08-26",
"last_updated": "2016-01-05",
"status": "A",
"authorized_official_last_name": "KERSKA",
"authorized_official_first_name": "MICHELLE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "858-531-0804",
"authorized_official_credential": "LCSW, BCBA"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1073382",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID HCBS WAIVER",
"identifier": "67775233",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.