Individual provider Active NPI

Kristina Arb, BS, LAC

  • Addiction (Substance Use Disorder) Counselor
  • Shawnee, KS
National Provider Identifier
1548753320
Registry record updated Jun 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
1548 Issued in KS
Practice address
12510 W 62ND Ter Ste 109
Shawnee, KS 66216-1869
Phone
(913) 766-1587
Fax
(913) 766-1668
NPI assigned
Jun 7, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2018

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 1548 KS Primary

Addresses

Primary practice location

12510 W 62ND Ter Ste 109
Shawnee, KS 66216-1869

Mailing address

6221 Richards Dr
Shawnee, KS 66216-1724
Phone (913) 248-1943

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)
Not enrolled
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
1548KSMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1528329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528329600000",
    "number": "1548753320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6221 RICHARDS DR",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662161724",
            "telephone_number": "913-248-1943",
            "fax_number": "913-248-1994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12510 W 62ND TER STE 109",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662161869",
            "telephone_number": "913-766-1587",
            "fax_number": "913-766-1668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARB",
        "first_name": "KRISTINA",
        "name_prefix": "Ms.",
        "credential": "BS, LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-07",
        "last_updated": "2018-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KS",
            "license": "1548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2018; 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.