Active NPI
Jessica Mattke
- Behavior Analyst
- Terre Haute, IN
National Provider Identifier
1902262454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-15-21322
- Practice address
- 399 Hospital LN
Terre Haute, IN 47802-4394 - Phone
- (812) 645-2308
- Fax
- (317) 520-8200
- NPI assigned
- Jan 13, 2016
- Last updated
- Apr 29, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-15-21322 | IN | Primary |
Addresses
Primary practice location
399 Hospital LN
Terre Haute, IN 47802-4394
Mailing address
3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135
Phone (855) 324-0885
Other practice location 1
51960 Gumwood Rd
Granger, IN 46530-6207
Phone (574) 247-4665
Other names 1
- Jessica Hanback
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hopebridge, LLC | Behavior Analyst | Past | 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, 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": "1452643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777420800000",
"number": "1902262454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 DEPAUW BLVD STE 3070",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462686135",
"telephone_number": "855-324-0885",
"fax_number": "317-520-8200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "399 HOSPITAL LN",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478024394",
"telephone_number": "812-645-2308",
"fax_number": "317-520-8200"
}
],
"practiceLocations": [
{
"address_1": "51960 Gumwood Rd",
"address_purpose": "LOCATION",
"city": "Granger",
"state": "IN",
"postal_code": "465306207",
"country_code": "US",
"telephone_number": "574-247-4665",
"fax_number": "574-247-4697",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MATTKE",
"first_name": "JESSICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-13",
"last_updated": "2026-04-29",
"certification_date": "2026-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "IN",
"license": "1-15-21322",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "HANBACK",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Terre Haute, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.