Individual provider Active NPI

Tera Renee McNutt, BCBA

  • Behavior Analyst
  • Columbus, OH
National Provider Identifier
1770021487
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-18-33739 Issued in OH
Practice address
6660 Doubletree Ave
Columbus, OH 43229-1128
Phone
(614) 844-5433
Fax
(614) 547-8044
NPI assigned
Feb 2, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

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 1-18-33739 OH Primary

Addresses

Primary practice location

6660 Doubletree Ave
Columbus, OH 43229-1128

Mailing address

2 Village SQ Ste 210
Baltimore, MD 21210-1624
Phone (614) 844-5433

Other names 1

  • Tera Renee Wallpe Former name

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Learning Spectrum, LLC Behavior Analyst CurrentSince May 7, 2024 Accepting new patients

Locations

2 Village Sq
Ste 210
Baltimore, MD 21210

6355 Winchester Blvd
Canal Winchester, OH 43110
Phone (614) 834-1114

125 Dillmont Dr
Columbus, OH 43235
Phone (614) 208-4720

6660 Doubletree Ave
Columbus, OH 43229
Phone (614) 844-5433

3060 Johnstown Utica Rd
Johnstown, OH 43031
Phone (740) 759-7059

Organizations & group practices 1

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": "1485993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1770021487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 VILLAGE SQ STE 210",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212101624",
            "telephone_number": "614-844-5433",
            "fax_number": "614-547-8044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6660 DOUBLETREE AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432291128",
            "telephone_number": "614-844-5433",
            "fax_number": "614-547-8044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNUTT",
        "first_name": "TERA",
        "middle_name": "RENEE",
        "name_prefix": "Miss",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-02",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "OH",
            "license": "1-18-33739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERA",
            "last_name": "WALLPE",
            "middle_name": "RENEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.