Individual provider Active NPI

Kristina Hatting, CDP, LICSWA

  • Addiction (Substance Use Disorder) Counselor
  • Burlington, WA
National Provider Identifier
1952561268
Registry record updated May 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CP00006306 Issued in WA
Practice address
614 Peterson Rd
Burlington, WA 98233-2606
Phone
(360) 757-0131
Fax
(360) 757-0136
NPI assigned
Jun 10, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SC60673279 WA
Addiction (Substance Use Disorder) Counselor 101YA0400X CP00006306 WA Primary

Addresses

Primary practice location

614 Peterson Rd
Burlington, WA 98233-2606

Mailing address

5415 92ND St NE
Marysville, WA 98270
Phone (206) 618-9874

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
CP00006306WAMDAddiction (Substance Use Disorder) Counselor
SC60673279WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Community Services of Western Washington Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495584000000",
    "number": "1952561268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5415 92ND ST NE",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "98270",
            "telephone_number": "206-618-9874",
            "fax_number": "360-757-0136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 PETERSON RD",
            "city": "BURLINGTON",
            "state": "WA",
            "postal_code": "982332606",
            "telephone_number": "360-757-0131",
            "fax_number": "360-757-0136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATTING",
        "first_name": "KRISTINA",
        "credential": "CDP, LICSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-10",
        "last_updated": "2017-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "SC60673279",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP00006306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2017; 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.