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KRISTINA LYNN GILLAM
NPI 1194231118
Peer Specialist in Joshua Tree, CA

Active since December 28, 2017
61607 29 PALMS HWY STE D, JOSHUA TREE, CA 92252(760) 366-8641(760) 366-3365 Get Directions Write a Review

NPPES record last updated: September 30, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 30, 2021, Dec 28, 2017 (2 updates tracked since 2017).

About Kristina Lynn Gillam NPPES

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

KRISTINA LYNN GILLAM (NPI 1194231118) is an individual peer specialist in Joshua Tree, California and active in the NPI registry since December 2017.

NPPES Registry Identity

NPI1194231118
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameKRISTINA LYNN GILLAM
Location Address61607 29 PALMS HWY STE DJoshua Tree, CA 92252-2391
Mailing Address61607 29 Palms Hwy Ste DJoshua Tree, CA 92252-2391 · (760) 366-8641 · Fax (760) 366-3365
Phone(760) 366-8641
Fax(760) 366-3365
Sole ProprietorNo
Enumeration DateDecember 28, 2017
Last NPPES UpdateSeptember 30, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2021
✔ NPI 1194231118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
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.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License R1265160917 (CA)
61607 29 PALMS HWY STE D, Joshua Tree, CA 92252
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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 Kristina Gillam's NPI number?

The NPI number for Kristina Gillam is 1194231118. It was assigned to this individual provider in the NPPES registry on December 28, 2017.

Where is Kristina Gillam located?

Kristina Gillam practices at 61607 29 Palms Hwy Ste D, Joshua Tree, CA 92252. The listed phone number is (760) 366-8641.

What is Kristina Gillam's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Kristina Gillam was last updated on September 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.