Kristi Watson, M.S LCADC, CCTP, BIP

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

167170 Issued in KY

Practice address

1000 E John Rowan Blvd Ste 107
Bardstown, KY 40004

Phone

(502) 331-6002

Fax

(502) 331-6122

NPI assigned

Sep 21, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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 and National Provider Directory roles.

• Better Together Recovery Center

  • Addiction (Substance Use Disorder) Counselor
  • Shelbyville, KY
  • NPI 1912603101
  NPD Authorized official
• Embrace Hope Recovery Center

  • Addiction (Substance Use Disorder) Counselor
  • Bardstown, KY
  • NPI 1093255440
  NPD

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

{
    "created_epoch": "1442793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629763200000",
    "number": "1477922490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 INDIAN SPRINGS TRCE",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400658359",
            "telephone_number": "502-827-9797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E JOHN ROWAN BLVD STE 107",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "40004",
            "telephone_number": "502-331-6002",
            "fax_number": "502-331-6122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "KRISTI",
        "credential": "M.S LCADC, CCTP, BIP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-21",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KY",
            "license": "ADCADC00223243",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KY",
            "license": "167170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100459000",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy A. Walls, OTR/L
• Patricia A Walston, WHNP
• Michael Walton, D.M.D.
• Norman Walton Jr., RPH
• Stephanie Wagoner Walton, OT/L
• L'Cris Amaru Real Weathers, DMD
• Ciara Weir, CADC
• Andrew Wickham Werner, DMD
• Timothy M West, PA-C
• Kimberly Wheatley, RPH

• Addiction (Substance Use Disorder) Counselor in Bardstown, KY
• Providers in Bardstown, KY by specialty
• Addiction (Substance Use Disorder) Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; 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.