Krystina Ptasinski, CDP

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

CO60650873 Issued in WA

Practice address

600 N 36TH St Ste 415
Seattle, WA 98103-8699

Phone

(206) 395-9081

NPI assigned

Dec 12, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

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.

• Edgewood Seattle Addiction Services

  • Community/Behavioral Health Agency
  • Seattle, WA
  • NPI 1437496684
  NPD (past)

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

{
    "created_epoch": "1513036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653264000000",
    "number": "1922513076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N 36TH ST STE 415",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981038699",
            "telephone_number": "206-395-9081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N 36TH ST STE 415",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981038699",
            "telephone_number": "206-395-9081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PTASINSKI",
        "first_name": "KRYSTINA",
        "credential": "CDP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-12",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP60905969",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH6091224",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "WA",
            "license": "CO60650873",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "CO60650873",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Psychological and Educational Alliance for Children
• Psychology for Meaningful Change, P.S.
• Psychotherapy & Consultation Services, LLC
• Pt4All PLLC
• Alina Maia Ptak
• Alexandra Meagan Ptucha, RRT
• Public Hospital District #1 of King County
• Michael Thomas Puccio, PHARM.D.
• Jenna Pucilowski
• Tanner Pudden

• Case Manager/Care Coordinator in Seattle, WA
• Providers in Seattle, WA by specialty
• Case Manager/Care Coordinator in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2022; 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.