CHRISTYN DON MODICA
NPI 1760019566
Counselor in Fife, WA

Q: What is Christyn Modica's NPI number?

The NPI number for Christyn Modica is 1760019566. It was assigned to this individual provider in the NPPES registry on March 24, 2020.

Q: What is Christyn Modica's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: Is Christyn Modica enrolled in Medicare?

No. Christyn Modica has opted out of Medicare through October 22, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Christyn Modica was last updated on September 14, 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.

Active since March 24, 2020Opted out of Medicare · through Oct 22, 2027

4210 20TH ST E STE B&C, FIFE, WA 98424(253) 235-5216 Get Directions Write a Review

NPPES record last updated: September 14, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 14, 2021, May 20, 2021, Mar 24, 2020 (3 updates tracked since 2020).

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About Christyn Don Modica NPPES

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

CHRISTYN DON MODICA (NPI 1760019566) is an individual counselor in Fife, Washington, licensed in Washington (MC61140763) and active in the NPI registry since March 2020. She has opted out of Medicare through October 22, 2027.

NPPES Registry Identity

NPI1760019566

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameCHRISTYN DON MODICA

Location Address4210 20TH ST E STE B&CFife, WA 98424-1830

Mailing Address1747 Sw Cozy LnPort Orchard, WA 98367-9321 · (360) 536-0018

Phone(253) 235-5216

Sole ProprietorYes

Enumeration DateMarch 24, 2020

Last NPPES UpdateSeptember 14, 20213 updates tracked since enumeration

NPPES CertifiedSeptember 14, 2021

✔ NPI 1760019566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Licenses✔ Licensed in WA · MC61140763✔ Licensed in WA · CG61019299

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License CP60771150 (WA)

4210 20TH ST E STE B&C, Fife, WA 98424

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Other Identifiers 1

OtherCG61019299WA · Counselor Agency Affiliated Registration

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Christyn Don Modica has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 22, 2025 through October 22, 2027.

Opt-Out Effective DateOctober 22, 2025

Opt-Out In Effect ThroughOctober 22, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 6

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

MICHELE MBUTE

Peer Specialist