Individual provider Active NPI

Kelsey Townsend, M.ED., BCBA, LBA

  • Behavior Analyst
  • Beaverton, OR
National Provider Identifier
1972942142
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
ABA-B-10168550 Issued in OR
Practice address
1800 NW 169TH PL
Ste A300
Beaverton, OR 97006-4848
Phone
(503) 747-2587
Fax
(503) 746-6323
NPI assigned
Jun 20, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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 ABA-B-10168550 OR Primary

Addresses

Primary practice location

1800 NW 169TH PL
Ste A300
Beaverton, OR 97006-4848

Mailing address

1800 NW 169TH PL Ste C100
Beaverton, OR 97006-7362
Phone (503) 747-2587

Other identifiers 1

IdentifierTypeStateIssuer
500691619MedicaidOR

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
ABA-B-10168550ORMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Westside Behavior Therapy, LLC. Behavior Analyst CurrentSince Apr 6, 2021 Accepting new patients

Locations

1800 NW 169th Pl
Ste C100
Beaverton, OR 97006
Phone (503) 747-2587

1800 NW 169th Pl
Ste A300
Beaverton, OR 97006
Phone (503) 747-2587

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": "1371686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1972942142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 NW 169TH PL STE C100",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970067362",
            "telephone_number": "503-747-2587",
            "fax_number": "503-746-6323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 NW 169TH PL",
            "address_2": "STE A300",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970064848",
            "telephone_number": "503-747-2587",
            "fax_number": "503-746-6323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOWNSEND",
        "first_name": "KELSEY",
        "credential": "M.ED., BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-20",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "OR",
            "license": "ABA-B-10168550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500691619",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; 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.