KRYSTAL LIVINGSTON (NPI# 1770051286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770051286 |
| Entity Type | Individual |
| Full Name | KRYSTAL LIVINGSTON |
| Practice Address |
325 W Gowe St Kent WA 98032-5892 |
| Practice Telephone | 2538337444 |
| Mailing Telephone | 2538337444 |
| Enumeration Date | 2018-11-02 |
| Last Update Date | 2018-11-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245708478 | Krystal Livingston | Legal Medicine | 1351 Newtown Pike Bldg 1, Lexington, KY 40511-1277 | 2018-11-06 |
| Street Address |
325 W GOWE ST |
| City | KENT |
| State | WA |
| Zip Code | 98032-5892 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487765442 | Lester Pittle | Family Medicine | 325 W Gowe St, Kent, WA 98032-5892 | 2006-08-31 |
| 1215538731 | Jesse Muao | Counselor | 325 W Gowe St, Kent, WA 98032-5892 | 2020-11-02 |
| 1891392189 | Nina Parks | Counselor | 325 W Gowe St, Kent, WA 98032-5892 | 2020-10-08 |
| 1013523349 | Amy Rainey | Counselor | 325 W Gowe St, Kent, WA 98032-5892 | 2020-09-22 |
| 1851907182 | Samantha Camera | Counselor | 325 W Gowe St, Kent, WA 98032-5892 | 2020-09-22 |
| 1265047195 | Alexander Sergeev | Counselor | 325 W Gowe St, Kent, WA 98032-5892 | 2020-09-08 |
| 1124633052 | Megan Smith | Counselor | 325 W Gowe St, Kent, WA 98032-5892 | 2020-09-08 |
| 1790398279 | Isabella Gulino | Counselor | 325 W Gowe St, Kent, WA 98032-5892 | 2020-08-25 |
| 1508475286 | Najarel Lewis | Counselor | 325 W Gowe St, Kent, WA 98032-5892 | 2020-07-28 |
| 1447868054 | Trevaunte Williams | Counselor | 325 W Gowe St, Kent, WA 98032-5892 | 2020-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952866790 | Cornerstone Ocd Anxiety | Counselor | 415 Railroad Ave S, Kent, WA 98032 | 2019-02-06 |
| 1861962458 | Mohamed Osman Awad | Counselor | 124 4th Ave S Suite 230, Kent, WA 98032 | 2018-11-27 |
| 1649747387 | Hannah Grace Rosborough | Counselor | 19435 68th Ave S Bldg S Ste 109, Kent, WA 98032 | 2018-10-31 |
| 1063948164 | Teasya Kusumo | Marriage & Family Therapist | 232 2nd Avenue S., Suite 201, Kent, WA 98032 | 2017-05-10 |
| 1902331648 | Heather Kunce | Marriage & Family Therapist | 232 Second Ave S, Ste 201, Kent, WA 98032 | 2017-05-01 |
| 1043761489 | Julia Kocian | Social Worker | 1601 W Meeker St., #201, Sea Mar Kent Behavioral Health, Kent, WA 98032 | 2016-10-20 |
| 1760938518 | Phoeun Sath | Community Health Worker | 24328 Pacific Hwy, Kent, WA 98032 | 2016-08-31 |
| 1891241568 | Live Well Alliance, LLC | Counselor | 1103 W. Meeker Street #102, Kent, WA 98032 | 2016-08-31 |
| 1760938070 | Seattle Cpap | Durable Medical Equipment & Medical Supplies | 25329 74th Ave S, Kent, WA 98032 | 2016-08-28 |
| 1750736401 | William Dale | Technician, Other | 6302 S 238th Pl, Apt U205, Kent, WA 98032 | 2016-05-02 |
| Find all providers in zip 98032 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407487135 | Julie Ann Gough | Peer Specialist | 5982 Rhodes Rd, Kent, OH 44240-8100 | 2020-01-31 |
| 1013557164 | Patrick H Kerr | Peer Specialist | 143 Gougler Ave, Kent, OH 44240-2401 | 2020-01-07 |
| 1023679727 | Robin Faye Holland | Peer Specialist | 5982 Rhodes Rd, Kent, OH 44240-8100 | 2019-06-24 |
| 1457817504 | Patricia Roberts | Peer Specialist | 325 W Gowe St, Kent, WA 98032-5892 | 2019-02-13 |
| 1194280420 | Francis Mubwaro | Peer Specialist | 325 W Gowe St, Kent, WA 98032-5892 | 2019-01-31 |
| 1528522851 | Melody Vasquez | Peer Specialist | 325 W Gowe St, Kent, WA 98032-5892 | 2019-01-31 |
| 1427528306 | Lynsi Russell | Peer Specialist | 5982 Rhodes Rd, Kent, OH 44240-8100 | 2018-12-04 |
| 1750859914 | Celestine Taylor | Peer Specialist | 325 W Gowe St, Kent, WA 98032-5892 | 2018-11-06 |
| 1932677200 | Jody Brown | Peer Specialist | 325 W Gowe St, Kent, WA 98032-5892 | 2018-11-05 |
| 1225506736 | Cassandra Jones | Peer Specialist | 325 W Gowe St, Kent, WA 98032-5892 | 2018-11-02 |
| Find all providers in KENT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.