Kristi Jo Conrad, MS

Key facts

NPI

1255013306

Entity type

Individual (NPI type 1)

Primary specialty

Addiction (Substance Use Disorder) Counselor 101YA0400X

Practice address

28 N Front St
Milton, PA 17847-1229

Phone

(570) 246-9421

NPI assigned

Aug 7, 2023

Sex

Female

Sole proprietor

No

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 and National Provider Directory roles.

• PA Treatment & Healing Community/Behavioral Health Agency · East Stroudsburg, PA · NPI 1013326321
  NPD
• PA Treatment & Healing Community/Behavioral Health Agency · Milton, PA · NPI 1316488380
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Credentials

Master of Science

Practice roles

Locations

Specialties & licenses

Addresses

Other names

• Ms. Kristi Jo Harris Other name

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 7, 2023.

{
    "created_epoch": "1691366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1255013306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 APPLE ST",
            "city": "MILTON",
            "state": "PA",
            "postal_code": "178471001",
            "telephone_number": "570-246-1239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 N FRONT ST",
            "city": "MILTON",
            "state": "PA",
            "postal_code": "178471229",
            "telephone_number": "570-246-9421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONRAD",
        "first_name": "KRISTI",
        "middle_name": "JO",
        "name_prefix": "Ms.",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-07",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTI",
            "last_name": "HARRIS",
            "middle_name": "JO",
            "prefix": "MS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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All providers in Milton, PA · Addiction (Substance Use Disorder) Counselor in Pennsylvania