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Kelsey Roberts , BCBA

Behavior Analyst β€’ Grand Rapids, MI

Active NPI 1124473574 Individual Practitioner Female Practitioner
Practice location in NPPES

1000 E Paris Ave Se
Grand Rapids, MI 495463691

Call 2316684909 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1000 E Paris Ave Se

Grand Rapids, MI 495463691

Telephone 2316684909
Organization at the Same NPPES Address or Phone
Spectrum Health Hospitals Facility NPI 1255327540

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 3 distinct additional practice-address records in Bridgman, MI; Kalamazoo, MI; Portage, MI. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2016

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Grand Rapids and Michigan

252 active clinicians are listed under Behavior Analyst with a practice address in Grand Rapids, MI (3,195 in Michigan).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Grand Rapids

0% of these 252 clinicians have the CMS telehealth indicator.

0% of these 252 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-10-10
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES MI 1-16-22626

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Behavior Analyst

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES MI 7401000665

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Technician, Other

NUCC Taxonomy Code: 247200000X

A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Michigan Department of Licensing and Regulatory Affairs.
Look Up on State Board Site

Secondary Practice Locations

4630 Hidden Creek Ln

Bridgman, MI 491068340

Phone: 9896006357

8135 Coxs Dr

Portage, MI 490025897

Phone: 9896006357

921 W Kalamazoo Ave Apt 5

Kalamazoo, MI 490072369

Phone: 9896006357

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

18 listed
NPI 1952503864

Doctor of Medicine (M.D.)

Dr. Donald Condit , MD

Orthopaedic Surgery - Hand Surgery

NPI 1518928423

Doctor of Medicine (M.D.)

NPI 1588942569

Doctor of Optometry

Dr. Ronald Hoogmoed , MD

Internal Medicine

NPI 1184673121

Doctor of Medicine (M.D.)

NPI 1952320723

Master of Arts, CCCA

Dr. Nishant Kalra , MD

Internal Medicine - Interventional Cardiology

NPI 1316146236

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

12 Historical Events
πŸ“
Updated Practice Location May 13, 2024

Registered at 1000 E PARIS AVE SE, GRAND RAPIDS, MI 495463691 (Tel: 2316684909)

πŸ“
Updated Business Mailing Address May 13, 2024

Registered at 1500 S DOUGLAS RD STE 230, CORAL GABLES, FL 331344108 (Tel: 8442441818)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 13, 2024

Behavior Analyst (license number reported to NPPES: MI 7401000665)

πŸ“
Updated Practice Location June 02, 2022

Registered at 4630 HIDDEN CREEK LN, BRIDGMAN, MI 491068340 (Tel: 9896006357)

πŸ“
Updated Business Mailing Address June 02, 2022

Registered at 4630 HIDDEN CREEK LN, BRIDGMAN, MI 491068340 (Tel: 9896006357)

πŸ‘€
Provider Name / Credentials Updated June 02, 2022

Recorded as KELSEY ROBERTS, BCBA

βœ…
NPI Profile Active May 03, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 03, 2016

Registered at 921 W KALAMAZOO AVE APT 5, KALAMAZOO, MI 490072369 (Tel: 9896006357)

πŸ“
Business Mailing Address (Initial Record) May 03, 2016

Registered at 921 W KALAMAZOO AVE APT 5, KALAMAZOO, MI 490072369 (Tel: 9896006357)

πŸ‘€
Provider Name / Credentials (Initial Record) May 03, 2016

Recorded as KELSEY LAURSEN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 03, 2016

Technician, Other

🟒
Initial NPI Registration & Enumeration May 03, 2016

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1124473574
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 03, 2016
Last Update: May 13, 2024
Sole Proprietor: No

Mailing Address

1500 S Douglas Rd Ste 230

Coral Gables, FL 331344108

Phone: 8442441818

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.