Individual provider Active NPI

Kelcee Birge

  • Behavior Technician
  • Evansville, IN
National Provider Identifier
1780480954
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
BACB872264 Issued in IN
Practice address
1123 S Harlan Ave
Evansville, IN 47714-2755
Phone
(812) 779-4231
NPI assigned
Feb 19, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X BACB872264 IN Primary

Addresses

Primary practice location

1123 S Harlan Ave
Evansville, IN 47714-2755

Mailing address

1123 S Harlan Ave
Evansville, IN 47714-2755
Phone (812) 779-4231

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://members.centralreach.com/#account Direct

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
BACB872264INMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1739923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1780480954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1123 S HARLAN AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477142755",
            "telephone_number": "812-779-4231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1123 S HARLAN AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477142755",
            "telephone_number": "812-779-4231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRGE",
        "first_name": "KELCEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-19",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "IN",
            "license": "BACB872264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://members.centralreach.com/#account",
            "affiliation": "N",
            "endpointDescription": "RBT profile",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1123 S Harlan Ave",
            "city": "Evansville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "477142755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; 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.