Individual provider Active NPI

Kristian A Cerna, LIAC

  • Addiction (Substance Use Disorder) Counselor
  • Gilbert, AZ
National Provider Identifier
1609755933
Registry record updated Aug 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
LIAC-155379 Issued in AZ
Practice address
3700 E Williams Field Rd Apt 1110
Gilbert, AZ 85295-0467
Phone
(602) 475-4460
NPI assigned
Aug 29, 2025
Last updated
Aug 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2025

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 LIAC-155379 AZ Primary

Addresses

Primary practice location

3700 E Williams Field Rd Apt 1110
Gilbert, AZ 85295-0467

Mailing address

3700 E Williams Field Rd Apt 1110
Gilbert, AZ 85295-0467
Phone (602) 475-4460

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

State licenses

LicenseStateTypeSpecialty
LIAC-155379AZMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1756425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756425600000",
    "number": "1609755933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 E WILLIAMS FIELD RD APT 1110",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852950467",
            "telephone_number": "602-475-4460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 E WILLIAMS FIELD RD APT 1110",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852950467",
            "telephone_number": "602-475-4460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERNA",
        "first_name": "KRISTIAN",
        "middle_name": "A",
        "credential": "LIAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-29",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "LIAC-155379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; 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.