Katrina Verhagen, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

N590 Rabbit Rd
Fremont, WI 54940-9503

Phone

(920) 381-9999

NPI assigned

Sep 30, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Grove Behavioral Services

  • Behavior Analyst
  • Fremont, WI
  • NPI 1033815592
  NPD
• Innovative Counseling Inc

  • Community/Behavioral Health Agency
  • Green Bay, WI
  • NPI 1093869588
  NPD (past)

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

{
    "created_epoch": "1601424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1891302196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N590 RABBIT RD",
            "city": "FREMONT",
            "state": "WI",
            "postal_code": "549409503",
            "telephone_number": "920-381-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N590 RABBIT RD",
            "city": "FREMONT",
            "state": "WI",
            "postal_code": "549409503",
            "telephone_number": "920-381-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERHAGEN",
        "first_name": "KATRINA",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-30",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "katrina@grovebehavioralservices.com",
            "affiliation": "N",
            "address_1": "N590 Rabbit Rd",
            "city": "Fremont",
            "state": "WI",
            "country_code": "US",
            "postal_code": "549409503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Denis C Scharine, D.D.S.
• Justyce Schultz
• Elijah Sergott
• Janelle Marie Upthegrove
• Jill Marie Van Lyssel, R.N.

• Behavior Analyst in Fremont, WI
• Providers in Fremont, WI by specialty
• Behavior Analyst in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.