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Active NPI 1760019566 Individual Practitioner Female Practitioner

Christyn Don Modica

Counselor • Fife, WA

Professional Overview & Biography Verified Profile Summary

Christyn Modica is a registered healthcare professional specializing in Counselor in Fife, WA. Practice services are available at 4210 20TH ST E STE B&C under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4210 20th St E Ste B&c

Fife, WA 984241830

Telephone 2532355216

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Fife, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.0 Yrs
Regional Practice Density
17 Specialists

Practicing in Fife, WA (11556 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-09-14
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License WA MC61140763

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.

Counselor

NUCC Taxonomy Code: 101Y00000X

State License WA CG61019299

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.

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

State License WA CP60771150

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Counselor Agency Affiliated Registration
CG61019299 (WA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

27 Associated Practitioners
Michele Mbute

Peer Specialist

NPI 1003385501
Kerry Duvent

Peer Specialist

NPI 1013486570
Alisa Thompson , LPN

Licensed Practical Nurse

NPI 1013486695

Licensed Practical Nurse

Mare Dumas-Graig

Peer Specialist

NPI 1043789506
Lieu Crews

Counselor - Mental Health

NPI 1093397648
NPI 1164991733

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 24, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location March 24, 2020

Registered at 4210 20TH ST E STE B&C, FIFE, WA 984241830 (Tel: 2532355216)

📍
Updated Business Mailing Address March 24, 2020

Registered at 1747 SW COZY LN, PORT ORCHARD, WA 983679321 (Tel: 3605360018)

👤
Provider Name / Credentials Updated March 24, 2020

Recorded as CHRISTYN MODICA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 24, 2020

Counselor (License #CG61019299 in WA)

🟢
Initial NPI Registration & Enumeration March 24, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1760019566
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 24, 2020
Last Update: September 14, 2021
Sole Proprietor: Yes

Mailing Address

1747 Sw Cozy Ln

Port Orchard, WA 983679321

Phone: 3605360018

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.