Lorraine Marie Pereira

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

61084769 Issued in WA

Practice address

27023 164TH Ave SE
Covington, WA 98042-8241

Phone

(253) 639-7146

NPI assigned

May 13, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mindsource Center, LLC

  • Community/Behavioral Health Agency
  • Covington, WA
  • NPI 1477978849
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1652400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652400000000",
    "number": "1033856877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27023 164TH AVE SE",
            "city": "COVINGTON",
            "state": "WA",
            "postal_code": "980428241",
            "telephone_number": "253-639-7146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27023 164TH AVE SE",
            "city": "COVINGTON",
            "state": "WA",
            "postal_code": "980428241",
            "telephone_number": "253-639-7146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREIRA",
        "first_name": "LORRAINE",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-13",
        "last_updated": "2022-05-13",
        "certification_date": "2022-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "WA",
            "license": "61084769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Parkhurst, DPT
• Jonathan Hugh Parks
• Caleb Pate
• Pearson Chiropractic PLLC
• Jay Scott Pearson, DC
• Perrigo Massage LLC
• Brenda Torres Perrigo
• Jessica Raelynn Petersen
• Kayla R Peterson, RDN, CEP
• Sofia D. Petrov, D.D.S., M.S.D.

• Behavior Technician in Covington, WA
• Providers in Covington, WA by specialty
• Behavior Technician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.