PREMIER THERAPEUTIC EXPERIENCE (NPI# 1124503735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124503735 |
| Entity Type | Organization |
| Organization Name | PREMIER THERAPEUTIC EXPERIENCE |
| Practice Address |
1400 112th Ave Se Ste 100 Bellevue WA 98004-6901 |
| Mailing Address |
3213 Harbor Ave Sw Unit 103 Seattle WA 98126-4600 |
| Practice Telephone | 5072547893 |
| Mailing Telephone | 5072547893 |
| Enumeration Date | 2018-09-28 |
| Last Update Date | 2018-09-28 |
| Authorized Official Name | HEATHER MOIR (MANAGER OF OPERATIONS) |
| Authorized Official Telephone | 5072547893 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Premier Therapeutic Experienc e | Doing Business As Name - Organization |
| Premier Therapeutic Experience | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639438955 | Premier Therapeutic Experience | Preferred Provider Organization | 8105 166th Ave Ne, Suite 202, Redmond, WA 98052-3999 | 2012-05-07 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | PREMIER THERAPEUTIC EXPERIENCE L.L.C. | 3213 Harbor Ave Sw Unit 103, Seattle, WA 98126-4600 |
| Street Address |
1400 112TH AVE SE STE 100 |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98004-6901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902092182 | Patricia L Paddison, Md, Pllc | Psychiatry & Neurology | 1400 112th Ave Se Ste 100, Bellevue, WA 98004-6901 | 2007-09-20 |
| 1881211399 | West Coast Psychiatry | Clinic/Center | 1400 112th Ave Se Ste 100, Bellevue, WA 98004-6901 | 2020-06-30 |
| 1679132971 | Adding Solutions | Social Worker | 1400 112th Ave Se Ste 100, Bellevue, WA 98004-6901 | 2019-06-10 |
| 1821505207 | Cassandra Kotlarchik | Marriage & Family Therapist | 1400 112th Ave Se Ste 100, Bellevue, WA 98004-6901 | 2018-01-06 |
| 1720519390 | Darcy Hollie | Counselor | 1400 112th Ave Se Ste 100, Bellevue, WA 98004-6901 | 2017-03-24 |
| 1235569427 | Integrated Health Center of Washington | Chiropractor | 1400 112th Ave Se Ste 100, Bellevue, WA 98004-6901 | 2013-11-25 |
| 1962787655 | Julia Elizabeth Mclawsen | Psychologist | 1400 112th Ave Se Ste 100, Bellevue, WA 98004 | 2011-10-13 |
| 1467788570 | Kelley Ann Nay | Counselor | 1400 112th Ave Se Ste 100, Bellevue, WA 98004-6901 | 2009-10-23 |
| 1639322993 | Jessica L Miller | Counselor | 1400 112th Ave Se Ste 100, Bellevue, WA 98004-6901 | 2008-10-30 |
| 1841461969 | Michelle L. D. Caldier, Dds, Ps | Dentist | 1400 112th Ave Se Ste 100, Bellevue, WA 98004-6901 | 2008-03-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306458328 | Geneva Paula Hoskins-dorsey | Nurse Practitioner | 11120 Ne 33rd Place, Suite 202, Bellevue, WA 98004 | 2020-08-20 |
| 1720553613 | Christine Eyler | Pediatrics | Bellevue Pediatrics, C & C Medical Associates, 1940 116th Ave Ne, Ste 200, Bellevue, WA 98004 | 2018-10-08 |
| 1437634730 | Hazelden Betty Ford Foundation | Clinic/Center | 1231 116th Ave. Ne Suite 410, Bellevue, WA 98004 | 2018-10-02 |
| 1356827828 | Seattle Spine Group, Pllc | Orthopaedic Surgery | 1220 116th Ave Ne Ste 102, Bellevue, WA 98004 | 2018-07-17 |
| 1669989216 | Atsuko Nakajima | Acupuncturist | 2223 112th Ave. Ne, Ste 201, Bellevue, WA 98004 | 2018-01-04 |
| 1740794718 | Radka Chapin Counseling, LLC | Clinic/Center | 1611 116th Ave Ne Ste 119, Bellevue, WA 98004 | 2017-11-28 |
| 1962912105 | Cuyler Ann Simmons | Counselor | 3805 108th Ave Ne Ste 204, Bellevue, WA 98004 | 2017-10-02 |
| 1639690357 | Nicolas Lopez-montalvo | Behavioral Analyst | 3003 Northup Way Suite 200, Bellevue, WA 98004 | 2017-07-03 |
| 1124579537 | Matthew Thomas Haley | Pharmacist | 107 Bellevue Way, Se, Bellevue, WA 98004 | 2016-10-20 |
| 1649727348 | Kelsey Tanaka | Nurse Practitioner | 400- 108th Ave Ne, Suite 100, Bellevue, WA 98004 | 2016-09-10 |
| Find all providers in zip 98004 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447736640 | Deborah Runke | Marriage & Family Therapist | 1160 140th Ave Ne Ste E&f, Bellevue, WA 98005-2978 | 2018-07-11 |
| 1700313665 | Kristin Nicole Mendoza | Marriage & Family Therapist | 13646 Ne 24th St, Bellevue, WA 98005-1859 | 2017-05-22 |
| 1245765312 | Amy Peterson | Marriage & Family Therapist | 17128 Se 35th St, Bellevue, WA 98008-5820 | 2017-04-26 |
| 1306295860 | Linda Dulan | Marriage & Family Therapist | 4861 167th Ave Se, Bellevue, WA 98006-5897 | 2016-06-06 |
| 1063872844 | Sophia Lust | Marriage & Family Therapist | 11711 Se 8th St, Suite 315, Bellevue, WA 98005-3543 | 2016-03-07 |
| 1902295777 | Christina Steere | Marriage & Family Therapist | 915 118th Ave Se Ste 285, Bellevue, WA 98005-3800 | 2015-01-16 |
| 1093131070 | Tina Marie Ensminger | Marriage & Family Therapist | 1400 112th Ave Se Ste 202, Bellevue, WA 98004-6901 | 2014-03-13 |
| 1790113504 | Jennifer Marie Peters | Marriage & Family Therapist | 16130 Se Eastgate Way Apt D105, Bellevue, WA 98008-5474 | 2013-10-15 |
| 1639510001 | Sarah Howbert | Marriage & Family Therapist | 12740 Ne 30th St, Bellevue, WA 98005-1606 | 2013-07-12 |
| 1699118976 | Angela L. Wyatt | Marriage & Family Therapist | 1406 Fort Crook Rd S Ste 401, Bellevue, NE 68005-2980 | 2013-04-16 |
| Find all providers in BELLEVUE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.