Coreenia Lee Preston, CNA

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

NC60766510 Issued in WA

Practice address

500 SE Washington Ave
Chehalis, WA 98532-3058

Phone

(509) 232-5766

NPI assigned

Feb 20, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• American Behavioral Health Systems, Inc.

  • Substance Abuse Rehabilitation Facility
  • Chehalis, WA
  • NPI 1598123226
  NPD (past)
• American Behavioral Health Systems, Inc.

  • Substance Abuse Rehabilitation Facility
  • Spokane Valley, WA
  • NPI 1962991661
  NPD (past)

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

{
    "created_epoch": "1550620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550620800000",
    "number": "1902362478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12715 E MISSION AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992161027",
            "telephone_number": "509-232-5733",
            "fax_number": "509-321-5472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SE WASHINGTON AVE",
            "city": "CHEHALIS",
            "state": "WA",
            "postal_code": "985323058",
            "telephone_number": "509-232-5766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESTON",
        "first_name": "COREENIA",
        "middle_name": "LEE",
        "credential": "CNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-20",
        "last_updated": "2019-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "NC60766510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2077844",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Derick Aaron Potter, ARNP
• Rachael Marie Potter, RN
• James Kyle Pratt, CDPT
• Traci Lynn Prayner, CRNA
• Stacie Anne Prestegord, LMP
• Veronica I Preston, RN
• Avionne Makayla Pridgen, CPHT
• Krystal Rene Priest
• Hailey Prince
• Private Network Consulting

• Addiction (Substance Use Disorder) Counselor in Chehalis, WA
• Providers in Chehalis, WA by specialty
• Addiction (Substance Use Disorder) Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2019; 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.