Active NPI
Jonnathan Mark Crea
- Counselor
- Aberdeen, WA
National Provider Identifier
1245936764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 2700 Simpson Ave Ste 101
Aberdeen, WA 98520-4333 - Phone
- (360) 612-0012
- Fax
- (360) 532-0670
- NPI assigned
- Feb 6, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
2700 Simpson Ave Ste 101
Aberdeen, WA 98520-4333
Mailing address
PO Box 1847
Longview, WA 98632-8140
Phone (360) 423-0203
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbia Wellness | Current | Accepting new patients |
Locations
2700 Simpson Ave
Ste 101
Aberdeen, WA 98520
Phone (360) 612-0012
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Case Management Agency
- Longview, WA
- NPI 1487659579
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675641600000",
"number": "1245936764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1847",
"city": "LONGVIEW",
"state": "WA",
"postal_code": "986328140",
"telephone_number": "360-423-0203",
"fax_number": "360-577-0187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 SIMPSON AVE STE 101",
"city": "ABERDEEN",
"state": "WA",
"postal_code": "985204333",
"telephone_number": "360-612-0012",
"fax_number": "360-532-0670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CREA",
"first_name": "JONNATHAN",
"middle_name": "MARK",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-02-06",
"last_updated": "2023-02-06",
"certification_date": "2023-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aberdeen, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.