NPIMap

Organization Active NPI

Collaborative Care Behavioral Therapy LLC

  • Behavior Analyst
  • Wapakoneta, OH
National Provider Identifier
1891461406
Registry record updated Apr 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
COLLABORATIVE CARE BEHAVIORAL THERAPY LLC
Practice address
103 E Auglaize St
Wapakoneta, OH 45895-1506
Phone
(419) 738-3366
Fax
(833) 409-2205
NPI assigned
Aug 23, 2021
Last updated
Apr 25, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2023

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

Authorized official

Name
Laura Highley
Title
Billing Administrator
Phone
(937) 738-3367

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

103 E Auglaize St
Wapakoneta, OH 45895-1506

Mailing address

103 E Auglaize St
Wapakoneta, OH 45895-1506
Phone (419) 738-3366

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bmcdonald@ccbt.services Direct

National Provider Directory

National Provider Directory

Locations

103 E Auglaize St
Wapakoneta, OH 45895
Phone (419) 738-3366

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1629676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682380800000",
    "number": "1891461406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 E AUGLAIZE ST",
            "city": "WAPAKONETA",
            "state": "OH",
            "postal_code": "458951506",
            "telephone_number": "419-738-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 E AUGLAIZE ST",
            "city": "WAPAKONETA",
            "state": "OH",
            "postal_code": "458951506",
            "telephone_number": "419-738-3366",
            "fax_number": "833-409-2205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLABORATIVE CARE BEHAVIORAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-23",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A",
        "authorized_official_last_name": "HIGHLEY",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "BILLING ADMINISTRATOR",
        "authorized_official_telephone_number": "937-738-3367"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bmcdonald@ccbt.services",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "12535 Hardin Pike Rd",
            "city": "Wapakoneta",
            "state": "OH",
            "country_code": "US",
            "postal_code": "458958326",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wapakoneta, OH

Sources for this page

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