Active NPI
Brandon E Premier, LPSY, LMHC, SUDP
- Clinical Psychologist
- Bellevue, WA
National Provider Identifier
1275838393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY.61459940
- Practice address
- 375 118TH Ave SE Ste 204
Bellevue, WA 98005-3525 - Phone
- (206) 619-7829
- NPI assigned
- Jan 20, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY.61459940 | WA | Primary |
| Mental Health Counselor | 101YM0800X | LH60270904 | WA | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CP60327801 | WA |
Addresses
Primary practice location
375 118TH Ave SE Ste 204
Bellevue, WA 98005-3525
Mailing address
3213 Harbor Ave SW Ste 1
Seattle, WA 98126-4600
Phone (206) 619-7829
Other practice location 1
3213 Harbor Ave SW Ste 1
Seattle, WA 98126-4600
Phone (206) 619-7829
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2071806 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP60327801 | WA | MD | Addiction (Substance Use Disorder) Counselor |
| LH60270904 | WA | MD | Mental Health Counselor |
| PY.61459940 | WA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776124800000",
"number": "1275838393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3213 HARBOR AVE SW STE 1",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981264600",
"telephone_number": "206-619-7829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "375 118TH AVE SE STE 204",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980053525",
"telephone_number": "206-619-7829"
}
],
"practiceLocations": [
{
"address_1": "3213 Harbor Ave SW Ste 1",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981264600",
"country_code": "US",
"telephone_number": "206-619-7829",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PREMIER",
"first_name": "BRANDON",
"middle_name": "E",
"credential": "LPSY, LMHC, SUDP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-01-20",
"last_updated": "2026-04-14",
"certification_date": "2026-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WA",
"license": "PY.61459940",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH60270904",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WA",
"license": "CP60327801",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2071806",
"state": "WA"
}
],
"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 Apr 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.