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Katrina Custer

Peer Specialist β€’ Centralia, WA

Active NPI 1427696764 Individual Practitioner Female Practitioner
Practice location in NPPES

2428 W Reynolds Ave
Centralia, WA 985314554

Call 3603309044 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2428 W Reynolds Ave

Centralia, WA 985314554

Telephone 3603309044
Organization at the Same NPPES Address or Phone
Cascade Community Healthcare Facility NPI 1619068624

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2019

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Centralia and Washington

64 active clinicians are listed under Peer Specialist with a practice address in Centralia, WA (2,632 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Centralia

0% of these 64 clinicians have the CMS telehealth indicator.

0% of these 64 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-01-07
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

License # reported to NPPES WA CG61029831

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

3 listed
Monica Aparicio , ARNP

Nurse Practitioner

NPI 1235529843

Advanced Registered Nurse Practitioner

Luke Greene , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1134423056

Psychiatric-Mental Health Nurse Practitioner

Duane Patterson

Nurse Practitioner - Psychiatric/Mental Health

NPI 1154054344

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location January 07, 2025

Registered at 2428 W REYNOLDS AVE, CENTRALIA, WA 985314554 (Tel: 3603309044)

πŸ“
Updated Business Mailing Address January 07, 2025

Registered at 2428 W REYNOLDS AVE, CENTRALIA, WA 985314554 (Tel: 3603309044)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 07, 2025

Peer Specialist (license number reported to NPPES: WA CG61029831)

βœ…
NPI Profile Active December 17, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) December 17, 2019

Registered at 1960 THOMPSON DR, SEDRO WOOLLEY, WA 982845007 (Tel: 3608563186)

πŸ“
Business Mailing Address (Initial Record) December 17, 2019

Registered at 7440 W MARGINAL WAY S, SEATTLE, WA 981084141

πŸ‘€
Provider Name / Credentials (Initial Record) December 17, 2019

Recorded as KATRINA CUSTER

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 17, 2019

Counselor

🟒
Initial NPI Registration & Enumeration December 17, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1427696764
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 17, 2019
Last Update: January 07, 2025
Sole Proprietor: No

Mailing Address

2428 W Reynolds Ave

Centralia, WA 985314554

Phone: 3603309044

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.