NPIMap

Organization Active NPI

Unearth Potential, LLC

  • Behavior Analyst
  • Joplin, MO
National Provider Identifier
1982202883
Registry record updated Oct 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
UNEARTH POTENTIAL, LLC
Practice address
1907 S Moffet Ave
Joplin, MO 64804-1851
Phone
(417) 396-1214
NPI assigned
Oct 13, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2020

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

Authorized official

Name
Ms. Erin Marie Phipps, BCBA, LBANPI 1285068080
Title
Board Certified Behavior Analyst
Phone
(417) 396-1214

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

1907 S Moffet Ave
Joplin, MO 64804-1851

Mailing address

1907 S Moffet Ave
Joplin, MO 64804-1851
Phone (417) 396-1214

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1602547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602547200000",
    "number": "1982202883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1907 S MOFFET AVE",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648041851",
            "telephone_number": "417-396-1214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1907 S MOFFET AVE",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648041851",
            "telephone_number": "417-396-1214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNEARTH POTENTIAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-13",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A",
        "authorized_official_last_name": "PHIPPS",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "BOARD CERTIFIED BEHAVIOR ANALYST",
        "authorized_official_telephone_number": "417-396-1214",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BCBA, LBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joplin, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.