Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1922102409 Individual Practitioner Female Practitioner

Kathryn Anne Douglas , BCBA, LCPC, LPCC

Behavior Analyst • Quincy, IL

Professional Overview & Biography Verified Profile Summary

Kathryn Douglas, BCBA, LCPC, LPCC is a registered healthcare professional specializing in Behavior Analyst in Quincy, IL. Practice services are available at 535 MAINE ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

535 Maine St

Quincy, IL 623013950

Telephone 2175772176
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Quincy, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.3 Yrs
Regional Practice Density
5 Specialists

Practicing in Quincy, IL (3105 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-10-17
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License IL 1-19-35663

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.

Counselor

NUCC Taxonomy Code: 101Y00000X

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Counselor - Professional

NUCC Taxonomy Code: 101YP2500X

State License IL 180007537

Definition to come...

Counselor - Professional

NUCC Taxonomy Code: 101YP2500X

State License MO 2009032566

Definition to come...

Counselor - Professional

NUCC Taxonomy Code: 101YP2500X

State License CA 13837

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
Ashlyn Eddy

Behavior Technician

NPI 1295538494
Kaileigh Bainter

Behavior Technician

NPI 1306663752
Mariah Eggleston

Behavior Technician

NPI 1376360735
Tiffany Browning

Behavior Technician

NPI 1487457677
Marissa Lumpkin , BCBA

Behavior Analyst

NPI 1598375727

Board Certified Behavior Analyst

Charlene Besse

Behavior Technician

NPI 1730906520

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location July 16, 2023

Registered at 535 MAINE ST, QUINCY, IL 623013950 (Tel: 2175772176)

📍
Updated Business Mailing Address July 16, 2023

Registered at 2909 SELKIRK LN, QUINCY, IL 623056525 (Tel: 4155800239)

👤
Provider Name / Credentials Updated July 16, 2023

Recorded as KATHRYN DOUGLAS, BCBA, LCPC, LPCC

NPI Profile Active April 30, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location April 30, 2012

Registered at 1025 MAINE ST, QUINCY, IL 623014038 (Tel: 2172226550)

📍
Updated Business Mailing Address April 30, 2012

Registered at 1025 MAINE ST, QUINCY, IL 623014038 (Tel: 2172226550)

👤
Provider Name / Credentials Updated April 30, 2012

Recorded as KATHRYN DOUGLAS, MS COUNSELING, LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 30, 2012

Counselor

🟢
Initial NPI Registration & Enumeration September 12, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1922102409
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 12, 2006
Last Update: October 17, 2023
Sole Proprietor: No

Mailing Address

2909 Selkirk Ln

Quincy, IL 623056525

Phone: 4155800239

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.