ELISA PETERSON (NPI# 1639602592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639602592 |
| Entity Type | Individual |
| Full Name | ELISA PETERSON |
| Other Name | ELISA LEBMAN |
| Credential | PSYD |
| Practice Address |
13010 Ne 20th St #300 Bellevue WA 98005-2034 |
| Mailing Address |
18609 Se Newport Way #204 Issaquah WA 98027-9788 |
| Practice Telephone | 4256446328 |
| Mailing Telephone | 2069402691 |
| Enumeration Date | 2017-04-07 |
| Last Update Date | 2017-04-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
PY60711540 | WA | Behavioral Health & Social Service Providers |
| Street Address |
13010 NE 20TH ST #300 |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98005-2034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174645691 | Andrea Leah Duffield | Speech-Language Pathologist | 13010 Ne 20th St, Suite 300, Bellevue, WA 98005-2034 | 2007-04-04 |
| 1831614197 | Jessica Danielle Stephens | Behavioral Analyst | 13010 Ne 20th St, Bellevue, WA 98008 | 2017-08-08 |
| 1144756339 | Karen Elizabeth Penewell | Physical Therapist | 13010 Ne 20th St, Ste 300, Bellevue, WA 98005-2034 | 2017-05-07 |
| 1336674902 | Nadia Kabbani | Occupational Therapist | 13010 Ne 20th St, Suite 300, Bellevue, WA 98005-2034 | 2017-04-20 |
| 1679005342 | Peter Shirey | Behavior Technician | 13010 Ne 20th St, Suite 300, Bellevue, WA 98005-2034 | 2017-03-31 |
| 1497205934 | Sara Gratz | Speech-Language Pathologist | 13010 Ne 20th St, Suite 300, Bellevue, WA 98005-2034 | 2016-10-07 |
| 1508226531 | Michael Clark | Occupational Therapist | 13010 Ne 20th St, Ste 300, Bellevue, WA 98005-2034 | 2016-03-03 |
| 1477921583 | Chelsea Shamis | Speech-Language Pathologist | 13010 Ne 20th St, Suite 300, Bellevue, WA 98005-2034 | 2015-09-04 |
| 1073980975 | Nancy Underwood | Speech-Language Pathologist | 13010 Ne 20th St, Suite 300, Bellevue, WA 98005-2034 | 2015-08-26 |
| 1427439355 | Nicole Mickelson | Behavioral Analyst | 13010 Ne 20th St, Suite 100, Bellevue, WA 98005-2034 | 2015-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679194161 | Move Well, Be Well Pllc | Clinic/Center | 11900 Ne 1st Street, Suite 3106, Bellevue, WA 98005 | 2020-05-06 |
| 1649899410 | Wen-fang Ku | Acupuncturist | 13555 Bel-red Rd, Suite 110, Bellevue, WA 98005 | 2020-04-13 |
| 1558901801 | Janelle Morris | Behavior Technician | 12729 Northup Way, Suite 9, Bellevue, WA 98005 | 2020-01-14 |
| 1912467234 | Amanda Gallardo | Behavior Technician | 13333 Bel Rd Suite 100, Bellevue, WA 98005 | 2019-03-22 |
| 1639637903 | Oxana I Varvaryuk | Massage Therapist | 606 120th Ave Ne, Suite D104, Bellevue, WA 98005 | 2019-03-06 |
| 1609346246 | Bhavjit Kaur Mangat | Optometrist | 1808 Richards Rd Suite 110, Bellevue, WA 98005 | 2018-11-27 |
| 1386138907 | Amanda Frances Ellis | Dietitian, Registered | 915 118th Ave Se, Attention Alecia Johnson, Ret Physica, Suite 110, Bellevue, WA 98005 | 2018-06-18 |
| 1093227654 | Jinda Chaijinda | Naturopath | 13353 Bel-red Road Suite A105, Bellevue, WA 98005 | 2017-11-03 |
| 1962927038 | Laura Jo Zuker Olsen | Optometrist | 13401 Bel-red Rd Ne, Suite A4 - Bellevue Vision Clinic, Bellevue, WA 98005 | 2017-08-09 |
| 1336678697 | Yong Huang | Massage Therapist | 12505 Bel-red Road, Suite 188, Bellevue, WA 98005 | 2017-06-08 |
| Find all providers in zip 98005 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780672857 | Nancy Huenefeld Gese | Psychologist | 4315 Factoria Blvd Se, Ste B, Bellevue, WA 98006-1930 | 2005-10-12 |
| 1508392929 | Equilibrium PCs, Pllc | Psychologist | 1400 112th Ave Se, Suite 205, Bellevue, WA 98004-6901 | 2017-05-04 |
| 1609194380 | Nancy Huenefeld, Inc | Psychologist | 4315 Factoria Blvd Se, Ste B, Bellevue, WA 98006-1930 | 2010-05-05 |
| 1972791358 | Matthew Todd Leibsohn | Psychologist | 1450 114th Ave Se, Ste 100, Bellevue, WA 98004-6962 | 2007-10-10 |
| 1598784399 | Elizabeth Jane Wilson | Psychologist | 11522 Ne 21st St, Bellevue, WA 98004-3025 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083198451 | Terry Macdonald | Psychologist | 19125 N Creek Pkwy Ste 115, Bothell, WA 98011-8000 | 2018-09-20 |
| 1518447630 | Robert Matthew Fontana | Psychologist | 1827 Ne 58th St # B, Seattle, WA 98105-2440 | 2018-08-17 |
| 1801380191 | Northwest Integrative Psychotherapy, Inc. P.s. | Psychologist | 3245 Fairview Ave E Ste 310, Seattle, WA 98102 | 2018-06-19 |
| 1245732288 | Shannon Dubois | Psychologist | 19803 N Creek Pkwy # 205, Bothell, WA 98011-8214 | 2018-03-06 |
| 1982134714 | John M Gottman | Psychologist | 1689 Spring Point Rd, Deer Harbor, WA 98243-9824 | 2017-06-14 |
| 1245765650 | Renee St Jacques | Psychologist | 11441 81st Ave Ne, Kirkland, WA 98034-3558 | 2017-04-23 |
| 1962942409 | Lindsay Huettman | Psychologist | 28128 Florence Acres Rd, Monroe, WA 98272-9574 | 2017-03-02 |
| 1184160541 | Robin Barre | Psychologist | 421 Lincoln Avenue, Suite A, Mukilteo, WA 98237 | 2017-01-10 |
| 1144775644 | Lee M. Faver, Phd Pllc | Psychologist | 1220 Main St Ste 4, Vancouver, WA 98660-2953 | 2016-08-25 |
| 1780053454 | Jessica Renee Mason | Psychologist | 412 E Spokane Falls Blvd # 145d, Spokane, WA 99202-2131 | 2015-09-23 |
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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.