Individual provider Active NPI

Jessica Elaine Boyd Criado, SUDP-T

  • Addiction (Substance Use Disorder) Counselor
  • Spokane, WA
National Provider Identifier
1528977642
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CDPT.CO.70120609 Issued in WA
Practice address
701 E 3Rd Ave
Spokane, WA 99202-6014
Phone
(509) 838-6092
NPI assigned
Sep 3, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CDPT.CO.70120609 WA Primary

Addresses

Primary practice location

701 E 3Rd Ave
Spokane, WA 99202-6014

Mailing address

701 E 3Rd Ave
Spokane, WA 99202-6014
Phone (509) 838-6092

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1788393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1528977642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 E 3RD AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992026014",
            "telephone_number": "509-838-6092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E 3RD AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992026014",
            "telephone_number": "509-838-6092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYD CRIADO",
        "first_name": "JESSICA",
        "middle_name": "ELAINE",
        "credential": "SUDP-T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-03",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CDPT.CO.70120609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.