Krista Montana Crotty, PSYD

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LF60066896 Issued in WA

Practice address

220 W Main Ave
Spokane, WA 99201-0112

Phone

(509) 904-6404

NPI assigned

Feb 12, 2007

Last updated

Jan 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Krista Montana Kubiak Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Brain Based Therapy NW

  • Mental Health Counselor
  • Spokane, WA
  • NPI 1235907122
  NPD Authorized official
• Climb LLC

  dba Climb Clinic

  • Mental Health Counselor
  • Spokane, WA
  • NPI 1942718598

  Marriage & Family Therapist

  NPD
• Emily Program PC

  dba The Emily Program

  • Community/Behavioral Health Agency
  • Seattle, WA
  • NPI 1154696698
  NPD (past)

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516147200000",
    "number": "1033250956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 W MAIN AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992010112",
            "telephone_number": "509-904-6404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 W MAIN AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992010112",
            "telephone_number": "509-904-6404"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "820 S McClellan St",
            "address_2": "SUITE 411",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992042457",
            "country_code": "US",
            "telephone_number": "509-838-8168",
            "fax_number": "509-838-8256",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROTTY",
        "first_name": "KRISTA",
        "middle_name": "MONTANA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2018-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF60066896",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1033250956",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTA",
            "last_name": "KUBIAK",
            "middle_name": "MONTANA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sanjivani Marie Cross, LMHC
• Crossfit Spokane
• Kendra Kay Crossley
• Kameron Crosswhite, DPT
• Jeffrey A Crotty, MSMFT
• Nancy K Crotty, MD
• Eric Glen Crouch, CDPT
• Tamara A Crousore, RN
• Matthew Robert Crouthamel, MD
• Katherine Louise Crow, LMP

• Marriage & Family Therapist in Spokane, WA
• Providers in Spokane, WA by specialty
• Marriage & Family Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2018; 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.