Individual provider Active NPI

Kelsie McQueen-Gerhart

  • Behavior Analyst
  • Auburn, WA
National Provider Identifier
1861905069
Registry record updated Jan 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-21-52724 Issued in WA
Practice address
1314 Auburn Way N
Auburn, WA 98002-4109
Phone
(253) 237-3405
Fax
(253) 426-3096
NPI assigned
Nov 9, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-21-52724 WA Primary
Behavior Analyst 103K00000X 1-21-52724 CA
Assistant Behavior Analyst 106E00000X 0167537 CA

Addresses

Primary practice location

1314 Auburn Way N
Auburn, WA 98002-4109

Mailing address

1314 Auburn Way N
Auburn, WA 98002-4109
Phone (253) 237-3405

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
0167537CAMDAssistant Behavior Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Therapeutic Pathways, Inc. Past Accepting new patients
Circle Creek Therapy PLLC PastSince Dec 29, 2024 Accepting new patients

Organizations & group practices 2

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": "1510185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769299200000",
    "number": "1861905069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 AUBURN WAY N",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980024109",
            "telephone_number": "253-237-3405",
            "fax_number": "253-426-3096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 AUBURN WAY N",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980024109",
            "telephone_number": "253-237-3405",
            "fax_number": "253-426-3096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCQUEEN-GERHART",
        "first_name": "KELSIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-09",
        "last_updated": "2026-01-25",
        "certification_date": "2026-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WA",
            "license": "1-21-52724",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-21-52724",
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "CA",
            "license": "0167537",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2026; 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.