Individual provider Active NPI

Jessica Schoemer, BCBA

  • Behavior Analyst
  • Manchester, NH
National Provider Identifier
1962977934
Registry record updated May 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-21-52974
Practice address
373 S Willow St Ste 266
Manchester, NH 03103-5751
Phone
(877) 315-8080
NPI assigned
Oct 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-18-67276. TN
Behavior Analyst 103K00000X 1-21-52974 Primary

Addresses

Primary practice location

373 S Willow St Ste 266
Manchester, NH 03103-5751

Mailing address

373 S Willow St Ste 266
Manchester, NH 03103-5751
Phone (877) 315-8080

Other practice location 1

2250 Wilma Rudolph Blvd Ste F259
Clarksville, TN 37040-8452
Phone (931) 538-1460

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
RBT-18-67276.TNMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Positive Reinforcement Behavior Therapy, Inc Behavior Analyst CurrentSince Jun 4, 2023 Accepting new patients
Positive Reinforcement ABA Therapy Inc. Behavior Analyst PastSince Jun 4, 2023 Accepting new patients

Locations

373 S Willow St
Ste 266
Manchester, NH 03103

Organizations & group practices 2

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": "1538697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685404800000",
    "number": "1962977934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "373 S WILLOW ST STE 266",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031035751",
            "telephone_number": "877-315-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "373 S WILLOW ST STE 266",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031035751",
            "telephone_number": "877-315-8080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2250 Wilma Rudolph Blvd Ste F259",
            "address_purpose": "LOCATION",
            "city": "Clarksville",
            "state": "TN",
            "postal_code": "370408452",
            "country_code": "US",
            "telephone_number": "931-538-1460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHOEMER",
        "first_name": "JESSICA",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-05",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TN",
            "license": "RBT-18-67276.",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-21-52974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.