Individual provider Active NPI

Katelyn Gonzalez

  • Behavior Analyst
  • Austin, TX
National Provider Identifier
1881280576
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
5530 Issued in TX
Practice address
5700 S Mopac Expy Ste D400
Austin, TX 78749-1461
Phone
(737) 270-1010
Fax
(512) 532-6160
NPI assigned
Dec 16, 2020
Last updated
Aug 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

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 5530 TX Primary

Addresses

Primary practice location

5700 S Mopac Expy Ste D400
Austin, TX 78749-1461

Mailing address

1601 S Mopac Expy Ste C300
Austin, TX 78746-7077

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address katelyn.gonzalez@coloradobehavior.com Health Information Exchange (HIE)

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
5530TXMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Elizabeth Ostendorf LLC Behavior Analyst CurrentSince Dec 1, 2020 Accepting new patients

Locations

7011 Campus Dr
Ste 205
Colorado Springs, CO 80920
Phone (719) 466-4890

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1608076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1881280576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 S MOPAC EXPY STE C300",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787467077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 S MOPAC EXPY STE D400",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787491461",
            "telephone_number": "737-270-1010",
            "fax_number": "512-532-6160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "KATELYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-16",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "5530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "katelyn.gonzalez@coloradobehavior.com",
            "affiliation": "N",
            "endpointDescription": "provider email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "direct provider email for health information",
            "address_1": "7011 Campus Dr Ste 205",
            "city": "Colorado Springs",
            "state": "CO",
            "country_code": "US",
            "postal_code": "809203104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; 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.