Kristine Palamos

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

1539 McHenry Ave
Modesto, CA 95350-4528

Phone

(209) 702-0139

NPI assigned

Apr 8, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Aegis Treatment Centers, LLC

  • Methadone Clinic
  • Modesto, CA
  • NPI 1659436095
  NPD (past)

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

{
    "created_epoch": "1428451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601424000000",
    "number": "1548656325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1539 MCHENRY AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504528",
            "telephone_number": "209-702-0139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1539 MCHENRY AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504528",
            "telephone_number": "209-702-0139"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1235 McHenry Ave",
            "address_2": "Suite A & B",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "953505370",
            "country_code": "US",
            "telephone_number": "209-527-4597",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1270 Natividad Rd",
            "address_purpose": "LOCATION",
            "city": "Salinas",
            "state": "CA",
            "postal_code": "93906",
            "country_code": "US",
            "telephone_number": "831-755-4510",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "124 River Rd",
            "address_purpose": "LOCATION",
            "city": "Salinas",
            "state": "CA",
            "postal_code": "939089601",
            "country_code": "US",
            "telephone_number": "831-455-9965",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALAMOS",
        "first_name": "KRISTINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-08",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danessa Palacios-Reyes, LVN
• Adriana Palacios
• Maribel Palacios
• Jennifer Palafox
• Michelle Palafox
• Elise Marie Palitz, R.N.
• Sarah Pallen
• Kylie Pallios
• Karla A Palma Martinez
• Rafael Palma

• Professional Counselor in Modesto, CA
• Providers in Modesto, CA by specialty
• Professional Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2020; 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.