KRISTINE JOHNSON MSW, CDC 1
NPI 1164086765
Counselor - Addiction (Substance Use Disorder) in Wasilla, AK

Active since April 29, 2019PECOS EnrolledAccepts Medicare Assignment
7010 E BOGARD RD, WASILLA, AK 99654(907) 373-4732 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kristine Johnson Msw, Cdc 1 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KRISTINE JOHNSON MSW, CDC 1 (NPI 1164086765) is an individual addiction (substance use disorder) provider in Wasilla, Alaska and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1164086765
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameKRISTINE JOHNSONCredential: MSW, CDC 1
Location Address7010 E BOGARD RDWasilla, AK 99654-4711
Mailing AddressPo Box 876741Wasilla, AK 99687-6741 · (907) 373-4732
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateApril 29, 2019
Last NPPES UpdateNovember 27, 2023
NPI 1164086765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
7010 E BOGARD RD, Wasilla, AK 99654

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kristine Johnson Msw, Cdc 1 is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5193242501
PECOS Enrollment IDI20250508003355
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
7010 E BOGARD RD
WASILLA, AK 99654
Peer Specialist
7010 E BOGARD RD
WASILLA, AK 99654
Nurse Practitioner (Family)
7010 E BOGARD RD
WASILLA, AK 99654
Counselor (Addiction (Substance Use Disorder))
7010 E BOGARD RD
WASILLA, AK 99654
Student in an Organized Health Care Education/Training Program
7010 E BOGARD RD
WASILLA, AK 99654
Counselor (Addiction (Substance Use Disorder))
7010 E BOGARD RD
WASILLA, AK 99654
Counselor (Addiction (Substance Use Disorder))
7010 E BOGARD RD
WASILLA, AK 99654
Case Manager/Care Coordinator
7010 E BOGARD RD
WASILLA, AK 99654

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kristine Johnson's NPI number?

The NPI number for Kristine Johnson is 1164086765. It was assigned to this individual provider in the NPPES registry on April 29, 2019.

Where is Kristine Johnson located?

Kristine Johnson practices at 7010 E Bogard Rd, Wasilla, AK 99654. The listed phone number is (907) 373-4732.

What is Kristine Johnson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Kristine Johnson enrolled in Medicare?

Yes. Kristine Johnson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kristine Johnson accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Kristine Johnson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kristine Johnson was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.