Kristina Maria Perry, M.ED., LMHC, RPT-S

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH 60579749 Issued in WA

Practice address

13401 Bel-Red Road NE Ste B-12
Bellevue, WA 98005-2945

Phone

(206) 350-7506

Fax

(206) 582-7030

NPI assigned

May 18, 2011

Last updated

Jun 19, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 24, 2024 through Jan 24, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

Practice roles

Locations

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

• Eastside Play Therapy

  • Mental Health Counselor
  • Bellevue, WA
  • NPI 1922587328
  NPD Authorized official
• Lee Moore, Arnp, PLLC

  dba Better Mental Health & Wellness

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baltimore, MD
  • NPI 1609374180
  NPD (past)

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

{
    "created_epoch": "1305676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1275826638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13401 BEL-RED ROAD NE STE B-12",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052945",
            "telephone_number": "206-350-7506",
            "fax_number": "206-582-7030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13401 BEL-RED ROAD NE STE B-12",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052945",
            "telephone_number": "206-350-7506",
            "fax_number": "206-582-7030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12900 NE 180th St Ste 160",
            "address_purpose": "LOCATION",
            "city": "Bothell",
            "state": "WA",
            "postal_code": "980115778",
            "country_code": "US",
            "telephone_number": "206-350-7506",
            "fax_number": "206-582-7030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERRY",
        "first_name": "KRISTINA",
        "middle_name": "MARIA",
        "credential": "M.ED., LMHC, RPT-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-18",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH 60579749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neal S Perlmutter, M.D.
• Stephanie Compton Perrault, DO
• Annie Marie Perry
• Hillary Rose Perry, AUD
• Jessica Perry
• Roseanna Lee Perry, M.D.
• Zachary Perry
• Leo Anthony Perucca
• Jason Peruchini, LMFT
• Manjot Kaur Pesala, LMHC

• Mental Health Counselor in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.