Christian Matthew Adams

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

1202 Black Lake Blvd SW Ste B
Olympia, WA 98502-7208

Phone

(360) 878-8248

Fax

(360) 489-0402

NPI assigned

Aug 16, 2023

Last updated

Aug 16, 2023By the provider in NPPES

Sex

Male

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

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.

• Catholic Community Services WW

  • Community/Behavioral Health Agency
  • Olympia, WA
  • NPI 1568785293
  NPD

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

{
    "created_epoch": "1692144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1245013846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 MARCI CT SE",
            "city": "TENINO",
            "state": "WA",
            "postal_code": "985899736",
            "telephone_number": "209-366-9221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 BLACK LAKE BLVD SW STE B",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985027208",
            "telephone_number": "360-878-8248",
            "fax_number": "360-489-0402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "CHRISTIAN",
        "middle_name": "MATTHEW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-16",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Actual Wellness
• Mackensi Rae Adams-McAllister
• Arlene Josephine Adams, RN
• Bethany Adams
• Blaine A Adams, PHARMD
• Erin Marie Adams, C.N.A., L.M.P.
• Hannah Elizabeth Adams, PHARMD
• Isaiah Dewyo Adams
• Mandi Adams
• Nichole T. Adams, L.M.T.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.