Active NPI
Hollie M Christiancy, BA,CDP
- Addiction (Substance Use Disorder) Counselor
- Kent, WA
National Provider Identifier
1497028310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- CP 00001079
- Practice address
- 24823 Pacific Hwy S
Kent, WA 98032-5478 - Phone
- (253) 681-0010
- Fax
- (253) 681-0014
- NPI assigned
- Feb 23, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CP 00001079 | WA | Primary |
Addresses
Primary practice location
24823 Pacific Hwy S
Kent, WA 98032-5478
Mailing address
24823 Pacific Hwy S
Kent, WA 98032-5478
Phone (253) 681-0010
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12345 | Other | WA | DSHS |
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)
- Enrolled
- Credentials
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP 00001079 | WA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapeutic Health Services | Addiction (Substance Use Disorder) | Past | Accepting new patients |
| Therapeutic Health Services | 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 and National Provider Directory roles.
-
- Methadone Clinic
- Shoreline, WA
- NPI 1144312877
Addiction (Substance Use Disorder)
-
- Methadone Clinic
- Shoreline, WA
- NPI 1548606171
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329955200000",
"number": "1497028310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24823 PACIFIC HWY S",
"city": "KENT",
"state": "WA",
"postal_code": "980325478",
"telephone_number": "253-681-0010",
"fax_number": "253-681-0014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24823 PACIFIC HWY S",
"city": "KENT",
"state": "WA",
"postal_code": "980325478",
"telephone_number": "253-681-0010",
"fax_number": "253-681-0014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHRISTIANCY",
"first_name": "HOLLIE",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "BA,CDP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-02-23",
"last_updated": "2012-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WA",
"license": "CP 00001079",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DSHS",
"identifier": "12345",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kent, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.