Individual provider Active NPI

Kristina L Johnston, CDP

  • Addiction (Substance Use Disorder) Counselor
  • Spokane, WA
National Provider Identifier
1205335387
Registry record updated Sep 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
1321 N Ash St
Spokane, WA 99201-2803
Phone
(509) 327-3120
Fax
(509) 327-3228
NPI assigned
Feb 5, 2018
Last updated
Sep 26, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Primary

Addresses

Primary practice location

1321 N Ash St
Spokane, WA 99201-2803

Mailing address

PO Box 4672
Spokane, WA 99220-0672
Phone (509) 456-5465

Other practice location 1

218 N Oak St Ste B
Colville, WA 99114-2968
Phone (509) 680-6590

Other practice location 2

104 W Crawford Street
Deer Park, WA 99006
Phone (509) 276-2797

Other identifiers 1

IdentifierTypeStateIssuer
60344329MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Adept Assessment Center Inc Addiction (Substance Use Disorder) Past Accepting new patients
New Horizon Care Centers, Inc. Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1517788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537920000000",
    "number": "1205335387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4672",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992200672",
            "telephone_number": "509-456-5465",
            "fax_number": "509-456-5710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 N ASH ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992012803",
            "telephone_number": "509-327-3120",
            "fax_number": "509-327-3228"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "218 N Oak St Ste B",
            "address_purpose": "LOCATION",
            "city": "Colville",
            "state": "WA",
            "postal_code": "991142968",
            "country_code": "US",
            "telephone_number": "509-680-6590",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "104 W Crawford Street",
            "address_purpose": "LOCATION",
            "city": "Deer Park",
            "state": "WA",
            "postal_code": "99006",
            "country_code": "US",
            "telephone_number": "509-276-2797",
            "fax_number": "509-276-8155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "KRISTINA",
        "middle_name": "L",
        "credential": "CDP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-05",
        "last_updated": "2018-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60344329",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.