Individual provider Active NPI

Morgan Utterback, BCBA

  • Behavior Analyst
  • Simpsonville, KY
National Provider Identifier
1801434071
Registry record updated Feb 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
268717 Issued in KY
Practice address
3180 Countryside Dr
Simpsonville, KY 40067-5615
Phone
(502) 457-1227
NPI assigned
Dec 18, 2019
Last updated
Feb 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X KY
Behavior Analyst 103K00000X 268717 KY Primary

Addresses

Primary practice location

3180 Countryside Dr
Simpsonville, KY 40067-5615

Mailing address

3180 Countryside Dr
Simpsonville, KY 40067-5615
Phone (502) 457-1227

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address morgan.utterback@stephensbehavior.org 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
268717KYMDBehavioral Analyst

Interoperability endpoints

  • Direct secure messaging: morgan.utterback@stephensbehavior.org

NPI Registry JSON

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

{
    "created_epoch": "1576627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612224000000",
    "number": "1801434071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3180 COUNTRYSIDE DR",
            "city": "SIMPSONVILLE",
            "state": "KY",
            "postal_code": "400675615",
            "telephone_number": "502-457-1227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3180 COUNTRYSIDE DR",
            "city": "SIMPSONVILLE",
            "state": "KY",
            "postal_code": "400675615",
            "telephone_number": "502-457-1227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UTTERBACK",
        "first_name": "MORGAN",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-18",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "KY",
            "license": "268717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "morgan.utterback@stephensbehavior.org",
            "affiliation": "N",
            "endpointDescription": "Work Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3180 Countryside Dr",
            "city": "Simpsonville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "400675615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Simpsonville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; 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.