Pemberley Vander Linden, MA, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LF60267695 Issued in WA

Practice address

119 Pelly Ave N
Renton, WA 98057-5714

Phone

(206) 473-9838

NPI assigned

Jan 2, 2014

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 Mar 6, 2024 through Mar 6, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1388620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388620800000",
    "number": "1316368707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17240 34TH AVE S",
            "city": "SEATAC",
            "state": "WA",
            "postal_code": "981884450",
            "telephone_number": "206-473-9838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 PELLY AVE N",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980575714",
            "telephone_number": "206-473-9838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDER LINDEN",
        "first_name": "PEMBERLEY",
        "credential": "MA, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-02",
        "last_updated": "2014-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF60267695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Russel Van Gelder
• Megan Brooke Van Houten, M.S. CCC-SLP
• Tri Cong Van, PA-C
• Christine Campbell Vanbuskirk, OT
• John L Vander Heyden, MD
• Laura Vanderlinde, SLP
• Andrea Vanderwoude
• Laura Vanlandingham, PT
• Christian Vanscherpenseel, NP
• Vantage Radiology & Diagnostic Services, a Professional Services Corp

• Marriage & Family Therapist in Renton, WA
• Providers in Renton, 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 Jan 2, 2014; 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.