KATHERINE ROSE BROWN
NPI 1659775104
Behavior Analyst in Logan, UT
NPI Status: Active since October 13, 2014
Contact Information
6405 OLD MAIN HILL
LOGAN, UT
ZIP 84322
Phone: (435) 797-0576
Fax: (844) 308-5865
- Individual
- Female
- Behavior Analyst
- Accepts Insurance
- Opted-Out Medicare
About KATHERINE BROWN
This page provides the complete NPI Profile along with additional information for Katherine Brown, a provider established in Logan, Utah with a medical specialization in Behavior Analyst. The healthcare provider is registered in the NPI registry with number 1659775104 assigned on October 2014. The practitioner's primary taxonomy code is 103K00000X with license number 11569185-2506 (UT). The provider is registered as an individual and her NPI record was last updated 6 years ago.
- NPI
- 1659775104
- Provider Name
- KATHERINE ROSE BROWN
- Other Name
- DR. KATHERINE ROSE LICHTBLAU
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 6405 OLD MAIN HILL LOGAN, UT 84322
- Location Phone
- (435) 797-0576
- Location Fax
- (844) 308-5865
- Mailing Address
- 985450 NEBRASKA MEDICAL CTR OMAHA, NE 68198
- Mailing Phone
- (402) 559-8863
- Mailing Fax
- (844) 308-5865
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-13-2014
- Last Update Date
- 01-23-2020
- Code Navigator
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Katherine Brown opted out of Medicare effective on 11-15-2024 until 11-15-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
Secondary Locations
- 444 S 44th St
Omaha, NE 68131
(402) 559-8863
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Behavior Analyst
- Taxonomy Code
- 103K00000X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 11569185-2506
- License State
- UT
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
---|---|---|---|---|
1 | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | 10907 (NE) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
- Bronze 4 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 6 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- BridgeSpan Standard Bronze Plan - HMO
- BridgeSpan Standard Gold Plan - HMO
- BridgeSpan Standard Silver Plan - HMO
- Bronze Essential 8500 Deductible With 4 Copay No Deductible Office Visits - EPO
- Bronze HSA 7000 - EPO
- Gold 2300 - EPO
- Regence Standard Bronze 7500 - EPO
- Regence Standard Gold 1500 - EPO
- Regence Standard Silver 5000 - EPO
- Silver 5000 - EPO
- Silver 6200 - EPO
- Med Benchmark Expanded Bronze Select Copay Plan - HMO
- Med Benchmark Expanded Bronze Standardized Plan - HMO
- Med Benchmark Gold Standardized Plan - HMO
- Med Benchmark Platinum - HMO
- Med Benchmark Platinum Standardized Plan - HMO
- Med Benchmark Silver 6000 Medical Deductible w/Vision - HMO
- Med Benchmark Silver Standardized Plan - HMO
- Med Gold 1500 Medical Deductible - HMO
- Value Benchmark Expanded Bronze Select Copay Plan - HMO
- Value Benchmark Gold Standardized Plan - HMO
- Value Benchmark Platinum - HMO
- Value Benchmark Platinum Standardized Plan - HMO
- Value Benchmark Silver 5900 Medical Deductible - HMO
- Value Benchmark Silver Standardized Plan - HMO
- Value Expanded Bronze 6900 Medical Deductible - HMO
- Value Gold 1500 Medical Deductible - HMO
- Value Silver 3000 Medical Deductible - HMO
- Healthy Premier Bronze HSA - EPO
- Healthy Premier Expanded Bronze Standard - EPO
- Healthy Premier Gold Copay - EPO
- Healthy Premier Gold Standard - EPO
- Healthy Premier Silver Copay - EPO
- Healthy Premier Silver Standard - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 11-15-2024
Opt-Out End Date: 11-15-2026
Eligible to Order and Refer? No
Reviews for KATHERINE ROSE BROWN
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 6 | 5 | 9 | 7 | 7 | 5 | 1 | 0 | 4 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 6 | 10 | 9 | 14 | 7 | 10 | 1 | 0 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 6 + 1 + 0 + 9 + 1 + 4 + 7 + 1 + 0 + 1 + 0 + 24 = 56 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
60 - 56 = 4 | 4 |
The NPI number 1659775104 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1447715701 | UTAH STATE UNIVERSITY Organization | Specialist | 6405 OLD MAIN HILL LOGAN, UT 84322 (435) 797-7430 |
1588056907 | DR. PAUL RAYMOND JOSLYN BCBA-D Individual | Behavior Analyst | 6405 OLD MAIN HILL LOGAN, UT 84322 (435) 797-3403 |
1346805066 | MARYELLEN KATHERINE BRUNSON MCCLAIN PHD-LP Individual | Psychologist (Clinical Child & Adolescent) | 6405 OLD MAIN HILL LOGAN, UT 84322 (435) 797-1346 |
1114136637 | RYAN B SEEDALL LMFT Individual | Marriage & Family Therapist | 6405 OLD MAIN HILL LOGAN, UT 84322 (435) 797-7430 |
1417500273 | MCKENNA CHRISTY VOORHEES RD Individual | Dietitian, Registered (Nutrition, Pediatric) | 6405 OLD MAIN HILL LOGAN, UT 84322 (801) 927-7688 |
1629619010 | UTAH STATE UNIVERSITY Organization | Behavior Analyst | 6405 OLD MAIN HILL LOGAN, UT 84322 (435) 797-0576 |
1891331203 | KATELYN W OLIVER CSW Individual | Social Worker | 6405 OLD MAIN HILL LOGAN, UT 84322 (435) 797-0576 |
1063044865 | DR. RICK ANTHONY CRUZ PH.D. Individual | Psychologist (Clinical Child & Adolescent) | 6405 OLD MAIN HILL LOGAN, UT 84322 (435) 797-3401 |
1255840021 | DR. MICHAEL ESTEBAN GERALD CMHC, LMHC, CRC Individual | Counselor (Mental Health) | 6405 OLD MAIN HILL LOGAN, UT 84322 (435) 797-3401 |
1710592498 | JACQUELINE GUYMON CCC-SLP Individual | Speech-Language Pathologist | 6405 OLD MAIN HILL LOGAN, UT 84322 (435) 797-0576 |
1114288701 | DR. WESLEY HILL M.D. Individual | Psychiatry & Neurology (Child & Adolescent Psychiatry) | 6405 OLD MAIN HILL LOGAN, UT 84322 (435) 797-0576 |
1285291427 | DR. SHELLEY RENEE UPTON PHD, LP Individual | Psychologist (Clinical) | 6405 OLD MAIN HILL LOGAN, UT 84322 (435) 797-0576 |
1477066975 | ALYSSA HURD Individual | Behavior Technician | 6405 OLD MAIN HILL LOGAN, UT 84322 (435) 797-3403 |
1871261586 | SAMANTHA JO NERCESIAN RBT Individual | Behavior Technician | 6405 OLD MAIN HILL LOGAN, UT 84322 (435) 797-3403 |
1972279966 | LINDSAY THUNELL Individual | Student in an Organized Health Care Education/Training Program | 6405 OLD MAIN HILL LOGAN, UT 84322 (435) 881-8402 |
1841968682 | EMMA JOAN VISSER RBT Individual | Behavior Analyst | 6405 OLD MAIN HILL LOGAN, UT 84322 (435) 797-7087 |
1023578564 | ANNIE ROMANO Individual | Social Worker | 6405 OLD MAIN HILL LOGAN, UT 84322 (435) 797-1375 |
1821749060 | MR. THOMAS KRISTOPHER FRANZMANN Individual | Behavior Technician | 6405 OLD MAIN HILL LOGAN, UT 84322 (435) 797-1375 |
1922774926 | MILAD NAJAFICHAGHABOURI Individual | Behavior Analyst | 6405 OLD MAIN HILL LOGAN, UT 84322 (435) 797-3403 |
1033839121 | MRS. DARIA GRIFFITH FUELL Individual | Behavior Technician | 6405 OLD MAIN HILL LOGAN, UT 84322 (435) 797-3403 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1659775104, enumerated in the NPI registry as an "individual" on October 13, 2014
The provider is located at 6405 Old Main Hill Logan, Ut 84322 and the phone number is (435) 797-0576
The provider's speciality is Behavior Analyst with taxonomy code 103K00000X
The provider might be accepting Accepts: Aetna CVS Health, BridgeSpan Health Company,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
No, the provider signed an affidavit on November 15, 2024 to opt-out of the Medicare program. The provider is excluded from the Medicare program until November 15, 2026.
This NPI record was last updated on October 13, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.