Chrystal Slatter, CERTIFIED PEER COUNS

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

909 W Main St Ste 102
Monroe, WA 98272-2031

Phone

(206) 552-0882

Fax

(949) 955-5758

NPI assigned

Jan 24, 2023

Last updated

Jan 24, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Conquer Addiction PLLC

  dba Conquer

  • Multi-Specialty Clinic/Center
  • Monroe, WA
  • NPI 1255001624
  NPD (past)

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

{
    "created_epoch": "1674518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1104532027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14121 S HIGHWAY 21",
            "city": "KELLER",
            "state": "WA",
            "postal_code": "991409529",
            "telephone_number": "509-680-1404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 W MAIN ST STE 102",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "982722031",
            "telephone_number": "206-552-0882",
            "fax_number": "949-955-5758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLATTER",
        "first_name": "CHRYSTAL",
        "credential": "CERTIFIED PEER COUNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-24",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Cathryn Skoog, LMP LICENSED MASSAGE
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• Sky Valley Wellness, LLC (Sky Valley Wellness)
• Dawn Elizabeth Slack, LMT
• Gary O Smith, RPH
• Kristin Tomblin Smith, LMP
• Logan Donovon Smith, BS
• Michelle Christina Smith
• Snohomish County Fire District 3

• Peer Specialist in Monroe, WA
• Providers in Monroe, WA by specialty
• Peer Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; 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.