Active NPI
John L Hairtston
- Counselor
- Kent, WA
National Provider Identifier
1578812103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 24832 Pacific Highway S,
Suite 103
Kent, WA 98032 - Phone
- (253) 681-0010
- Fax
- (253) 681-0014
- NPI assigned
- Aug 29, 2012
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
24832 Pacific Highway S,
Suite 103
Kent, WA 98032
Mailing address
24832 Pacific Highway S,
Suite 103
Kent, WA 98032
Phone (253) 681-0010
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346198400000",
"number": "1578812103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24832 PACIFIC HIGHWAY S,",
"address_2": "SUITE 103",
"city": "KENT",
"state": "WA",
"postal_code": "98032",
"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": "24832 PACIFIC HIGHWAY S,",
"address_2": "SUITE 103",
"city": "KENT",
"state": "WA",
"postal_code": "98032",
"telephone_number": "253-681-0010",
"fax_number": "253-681-0014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAIRTSTON",
"first_name": "JOHN",
"middle_name": "L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-08-29",
"last_updated": "2012-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Aug 29, 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.