=====================================================
General NPI Number Information
=====================================================
NPI Number | 1427900935
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | KRISTA JOHNS CDCA
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/10/2026
-----------------------------------------------------
Last Update Date | 02/10/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 682 HAWTHORNE AVE
-----------------------------------------------------
City | CINCINNATI
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 45205-2398
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 513-921-1613
-----------------------------------------------------
Fax | 513-921-4244
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 682 HAWTHORNE AVE
-----------------------------------------------------
City | CINCINNATI
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 45205-2398
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 513-921-1613
-----------------------------------------------------
Fax | 513-921-4244
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YA0400X
-----------------------------------------------------
Taxonomy Name | Addiction (Substance Use Disorder) Counselor
-----------------------------------------------------
License Number | 195145
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------