Individual provider Active NPI

Megan McGovern

  • Behavior Analyst
  • Colorado Springs, CO
National Provider Identifier
1982110656
Registry record updated Jan 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-19-38760 Issued in CO
Practice address
7011 Campus Dr Ste 205
Colorado Springs, CO 80920-3104
Phone
(719) 466-4809
NPI assigned
Dec 18, 2017
Last updated
Jan 28, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-19-38760 CO Primary
Behavior Technician 106S00000X NU

Addresses

Primary practice location

7011 Campus Dr Ste 205
Colorado Springs, CO 80920-3104

Mailing address

590 W Highway 105 Ste 105
Monument, CO 80132-9125
Phone (719) 649-5037

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address megan.mcgovern@coloradobehavior.com Direct

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

OrganizationSpecialtyStatusNew patients
Elizabeth Ostendorf LLC Behavior Analyst CurrentSince Feb 2, 2020 Accepting new patients
Peak Potential Behavior & Wellness LLC Behavior Analyst Past Accepting new patients

Locations

7011 Campus Dr
Ste 205
Colorado Springs, CO 80920
Phone (719) 466-4890

590 W Highway 105
Monument, CO 80132
Phone (719) 344-8015

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, 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": "1513555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580169600000",
    "number": "1982110656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 W HIGHWAY 105 STE 105",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801329125",
            "telephone_number": "719-649-5037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7011 CAMPUS DR STE 205",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809203104",
            "telephone_number": "719-466-4809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGOVERN",
        "first_name": "MEGAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-18",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CO",
            "license": "1-19-38760",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "megan.mcgovern@coloradobehavior.com",
            "affiliation": "N",
            "endpointDescription": "provider email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "direct provider email for health information",
            "address_1": "7011 Campus Dr Ste 205",
            "city": "Colorado Springs",
            "state": "CO",
            "country_code": "US",
            "postal_code": "809203104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2020; 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.