Organization Active NPI

La Perla Counseling and Trauma Response Services, Inc.

  • Mental Health Counselor
  • Bellevue, WA
National Provider Identifier
1184290058
Registry record updated Jun 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
LA PERLA COUNSELING AND TRAUMA RESPONSE SERVICES, INC.
Practice address
1611 116TH Ave NE Ste 221
Bellevue, WA 98004-3063
Phone
(425) 449-8171
NPI assigned
Jun 1, 2021
Last updated
Jun 1, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2021

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

Authorized official

Name
Sonja J Rudie, MA, LMHC, CSAT-S
Title
Clinical Director
Phone
(425) 985-2143

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

1611 116TH Ave NE Ste 221
Bellevue, WA 98004-3063

Mailing address

1611 116TH Ave NE Ste 221
Bellevue, WA 98004-3063
Phone (425) 449-8171

National Provider Directory

National Provider Directory

Locations

1611 116th Ave NE
Ste 221
Bellevue, WA 98004
Phone (425) 449-8171

NPI Registry JSON

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

{
    "created_epoch": "1622505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622505600000",
    "number": "1184290058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 116TH AVE NE STE 221",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043063",
            "telephone_number": "425-449-8171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 116TH AVE NE STE 221",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043063",
            "telephone_number": "425-449-8171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA PERLA COUNSELING AND TRAUMA RESPONSE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-01",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A",
        "authorized_official_last_name": "RUDIE",
        "authorized_official_first_name": "SONJA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "425-985-2143",
        "authorized_official_credential": "MA, LMHC, CSAT-S"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; 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.