INSIDE OUT THERAPY ALLIANCE, LLC


Address: 2711 E Madison St, Suite 204a, Seattle, WA 98112-4749
Phone: 3304729667

INSIDE OUT THERAPY ALLIANCE, LLC (NPI# 1346697158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346697158
Entity Type Organization
Organization Name INSIDE OUT THERAPY ALLIANCE, LLC
Practice Address 2711 E Madison St
Suite 204a
Seattle
WA 98112-4749
Practice Telephone 3304729667
Enumeration Date 2016-05-21
Last Update Date 2016-05-21
Authorized Official Name JENNIFER REISBERG (MEMBER)
Authorized Official Telephone 3304729667
Authorized Official Credential MA, LMHCA
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
MC60613549 WA Behavioral Health & Social Service Providers

Office Location

Street Address 2711 E MADISON ST
SUITE 204A
City SEATTLE
State WA
Zip Code 98112-4749

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942415112 Alice Yvonne Thomas Counselor 2711 E Madison St, Seattle, WA 98112-4749 2007-05-11
1447725940 Elizabeth Lynn Silvestrini Counselor 2711 E Madison St, Seattle, WA 98112-4749 2018-10-11
1659806990 Gloria Dykstra Counselor 2711 E Madison St, Suite 204, Seattle, WA 98112-4749 2017-04-24
1750753364 Seattle Massage Pro Massage Therapist 2711 E Madison St, Ste#201, Seattle, WA 98112-4749 2015-10-21
1346625324 Samuel Kennedy Counselor 2711 E Madison St, Seattle, WA 98112 2015-07-20
1750776548 Randie Clark Counselor 2711 E Madison St, 204, Seattle, WA 98112-4749 2015-03-30
1285038729 Jennifer Reisberg Counselor 2711 E Madison St, Suite 204a, Seattle, WA 98112-4749 2014-10-13
1487074217 Vicki Sween Counselor 2711 E Madison St, Suite 200, Seattle, WA 98112-4749 2014-04-19
1912288879 Karen Marie Jackson Forbes Counselor 2711 E Madison St, #212, Seattle, WA 98112-4749 2011-09-06
1083994750 Amber Nicole Podach Myers Massage Therapist 2711 E Madison St, 201, Seattle, WA 98112-4749 2011-08-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891254991 Justin Jeng-young Fu Student in an Organized Health Care Education/Training Program 125 16 Th Ave E, Csb 545, Seattle, WA 98112 2019-03-18
1275015604 Eyewear Gallery LLC Optometrist 3121 E. Madison St Ste 102, Seattle, WA 98112 2018-09-01
1336637081 Oh Plastic and Reconstructive Surgery LLC Plastic Surgery 602 27th Ave E, Seattle, WA 98112 2018-04-27
1992228191 John Joseph Folta Chiropractor 3121 E Madison St Ste 103a, Seattle, WA 98112 2017-07-19
1083161061 Sheick Toure Counselor 122 16 Ave E, Seattle, WA 98112 2016-09-07
1457721805 Jessica Donovan Audiologist 201 16th Ave E # Cmb, Seattle, WA 98112 2015-09-29
1952777427 Ronald Berenson Physiological Laboratory 2032 41st Avenue, Seattle, WA 98112 2015-08-19
1225419005 Adrienne Foley Counselor 1833 40th Ave. E., Seattle, WA 98112 2015-06-17
1952721771 Ling Guo Internal Medicine Kaiser Permanente Central Hospital Building, 126 16th Ave E, Seattle, WA 98112 2014-04-19
1134548068 Anne Gayman Family Medicine 125 16th Avenue East, Csb-540, Group Health Family Medicine Residency, Seattle, WA 98112 2014-04-08
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1902407745 Julie Mcgowan Counselor 9222 12th Ave Sw, Seattle, WA 98106-2908 2020-11-06
1043811292 Satya Wellness Collective, LLC Counselor 5608 17th Ave Nw # 1063, Seattle, WA 98107-5232 2020-11-04
1366043960 Nidhi Amy Rastogi Counselor 7004 Murray Ave Sw Apt 103, Seattle, WA 98136-1763 2020-11-02
1124628797 Krista P Marceron Counselor 1421 34th Ave Ste 207, Seattle, WA 98122-3634 2020-10-31
1326648064 Taylor Ferry Counselor 3954 1st Ave Ne Apt 3, Seattle, WA 98105-6863 2020-10-30
1710587969 Brenton Brooks Page Jr. Counselor 819 N 49th St Ste 303, Seattle, WA 98103-6577 2020-10-27
1215536719 Jessica Aarsvold Counselor 1 Ward St Unit 5, Seattle, WA 98109-3627 2020-10-26
1972102911 Philip H Benjamin Counselor Philip Benjamin Seattle Psychology, Pllc 200 W. Mercer, Suite 111, Seattle, WA 98119 2020-10-21
1588263834 Laura Gardener Counselor 216 25th Ave, Seattle, WA 98122-6104 2020-10-19
1265031512 Mykel Ziolo Counselor 11700 Evanston Ave N, Seattle, WA 98133-8225 2020-10-19
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Competitor

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City SEATTLE
Zip Code 98112

Improve Information

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Dataset Information

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.

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