Individual provider Active NPI

Kelli Denise Jenkins, BCBA

  • Behavior Analyst
  • Mason, OH
National Provider Identifier
1992216436
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-22-61600 Issued in OH
Practice address
7312 Central Parke Blvd
Mason, OH 45040-6802
Phone
(513) 402-1711
Fax
(317) 520-8200
NPI assigned
Oct 23, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Behavior Analyst 103K00000X 1-22-61600 OH Primary

Addresses

Primary practice location

7312 Central Parke Blvd
Mason, OH 45040-6802

Mailing address

2733 E 12TH St Ste C2
Brooklyn, NY 11235-4672
Phone (248) 846-8700

Other practice location 1

7413 Squire Ct
West Chester, OH 45069-2380
Phone (513) 847-4685

Other practice location 2

7580 Northcliff Ave
Brooklyn, OH 44144-3270
Phone (248) 846-8700

Other practice location 3

3801 Sharon Park Ln Ste 150
Cincinnati, OH 45241-4171
Phone (248) 846-8700

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": "1508716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1992216436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2733 E 12TH ST STE C2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112354672",
            "telephone_number": "248-846-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7312 CENTRAL PARKE BLVD",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450406802",
            "telephone_number": "513-402-1711",
            "fax_number": "317-520-8200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7413 Squire Ct",
            "address_purpose": "LOCATION",
            "city": "West Chester",
            "state": "OH",
            "postal_code": "450692380",
            "country_code": "US",
            "telephone_number": "513-847-4685",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7580 Northcliff Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "OH",
            "postal_code": "441443270",
            "country_code": "US",
            "telephone_number": "248-846-8700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3801 Sharon Park Ln Ste 150",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452414171",
            "country_code": "US",
            "telephone_number": "248-846-8700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "KELLI",
        "middle_name": "DENISE",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-23",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "OH",
            "license": "1-22-61600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mason, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; 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.