Individual provider Active NPI

Michelle Vansetten, BCBA

  • Behavior Analyst
  • Matteson, IL
National Provider Identifier
1912285685
Registry record updated Feb 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-12-12469 Issued in IL
Practice address
21141 Governors Hwy FL 3
Matteson, IL 60443-3801
Phone
(708) 794-6509
NPI assigned
Jul 29, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2022

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 1-12-12469 IL Primary

Addresses

Primary practice location

21141 Governors Hwy FL 3
Matteson, IL 60443-3801

Mailing address

21141 Governors Hwy FL 3
Matteson, IL 60443-3801
Phone (708) 794-6509

Other practice location 1

1630 45th St Ste 201
Munster, IN 46321-3963
Phone (708) 794-6509

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

NPI Registry JSON

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

{
    "created_epoch": "1311897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645747200000",
    "number": "1912285685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21141 GOVERNORS HWY FL 3",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604433801",
            "telephone_number": "708-794-6509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21141 GOVERNORS HWY FL 3",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604433801",
            "telephone_number": "708-794-6509"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1630 45th St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Munster",
            "state": "IN",
            "postal_code": "463213963",
            "country_code": "US",
            "telephone_number": "708-794-6509",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANSETTEN",
        "first_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-29",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IL",
            "license": "1-12-12469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Matteson, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; 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.