KRISTINA JEANNE FANT LMHC LPC NPI 1144525916

NPI Information

NPI: 1144525916
Provider Name: KRISTINA JEANNE FANT, LMHC, LPC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

PECOS Registration: Yes

CLIA Number: 50D2302581

Address:
406 SE 131ST AVE STE 303
VANCOUVER, WA
ZIP 98683
Phone: (360) 828-8912
Get Directions

Kristina Jeanne Fant, LMHC, LPC is a mental health counselor in Vancouver, WA. Kristina Jeanne Fant, LMHC, LPC NPI is 1144525916. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

406 SE 131ST AVE STE 303
VANCOUVER, WA
ZIP 98683-014
Phone: (360) 828-8912
Fax: (503) 292-5208

The NPI 1144525916 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The CLIA number assigned to this NPI record is 50D2302581 - other - afh with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/25/2011 and was last updated on 3/23/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor		LH60323715	WASHINGTON	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	CP60294522	WASHINGTON	No
3	101YM0800X	Counselor	Mental Health	LH60323715	WASHINGTON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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