Individual provider Active NPI

Katelyn Meis, BCBA

  • Behavior Analyst
  • St Charles, IL
National Provider Identifier
1891363859
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-21-53077
Practice address
3306 Springfield Way
St Charles, IL 60175-1009
Phone
(331) 254-8691
NPI assigned
Jun 16, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 152.002792 IL
Behavior Analyst 103K00000X 1-21-53077 Primary

Addresses

Primary practice location

3306 Springfield Way
St Charles, IL 60175-1009

Mailing address

3306 Springfield Way
St Charles, IL 60175-1009
Phone (331) 254-8691

Other identifiers 2

IdentifierTypeStateIssuer
1-21-53077OtherBACB
152.002792OtherILLBA

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
152.002792ILMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Lighthouse Behavioral Services, LLC Behavior Analyst PastSince Aug 18, 2024 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1623801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764720000000",
    "number": "1891363859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3306 SPRINGFIELD WAY",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601751009",
            "telephone_number": "331-254-8691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3306 SPRINGFIELD WAY",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601751009",
            "telephone_number": "331-254-8691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEIS",
        "first_name": "KATELYN",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-16",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IL",
            "license": "152.002792",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-21-53077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BACB",
            "identifier": "1-21-53077",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LBA",
            "identifier": "152.002792",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Charles, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.