Organization Active NPI

Michelle Kerska, Bcba, PC

  • Behavior Analyst
  • Lakewood, CO
National Provider Identifier
1760859656
Registry record updated Jan 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1073382 Issued in CA
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

Updated by the provider on Jan 5, 2016

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)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
67775233OtherCOMEDICAID HCBS WAIVER

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.