Premier Therapeutic Experience

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

PREMIER THERAPEUTIC EXPERIENCE

Practice address

1400 112TH Ave SE Ste 100
Bellevue, WA 98004-6901

Phone

(507) 254-7893

NPI assigned

Sep 28, 2018

Organization subpart

No

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

Authorized official

Name

Heather Moir

Title

Manager of Operations

Phone

(507) 254-7893

Specialties & licenses 1

Addresses

Other names 2

• Premier Therapeutic Experienc e Doing business as
• Premier Therapeutic Experience Doing business as

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

{
    "created_epoch": "1538092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538092800000",
    "number": "1124503735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3213 HARBOR AVE SW UNIT 103",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981264600",
            "telephone_number": "507-254-7893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 112TH AVE SE STE 100",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980046901",
            "telephone_number": "507-254-7893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER THERAPEUTIC EXPERIENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-28",
        "last_updated": "2018-09-28",
        "status": "A",
        "authorized_official_last_name": "MOIR",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "MANAGER OF OPERATIONS",
        "authorized_official_telephone_number": "507-254-7893"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Therapeutic Experienc e",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Premier Therapeutic Experience",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Premere Rehab LLC
• Premier Care Services
• Premier Chiropractic 4 PLLC
• Premier Periodontics PPLC
• Premier Sleep Associates, PLLC
• Brandon E Premier, LPSY, LMHC, SUDP
• Premise Health of Washington Medical PC
• Premise Health of Washington Medical, P.C.
• Adriana Prengler, LMHC
• Katherine Prescott

• Marriage & Family Therapist in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Marriage & Family Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2018; 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.