Inside Out Therapy Alliance, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MC60613549 Issued in WA

Legal business name

INSIDE OUT THERAPY ALLIANCE, LLC

Practice address

2711 E Madison St
Suite 204a
Seattle, WA 98112-4749

Phone

(330) 472-9667

NPI assigned

May 21, 2016

Organization subpart

No

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

Authorized official

Name

Jennifer Reisberg, MA, LMHCANPI 1285038729

Title

Member

Phone

(330) 472-9667

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Reisberg, MA, LMHCA

  • Mental Health Counselor
  • Seattle, WA
  • NPI 1285038729
  NPD (past) Authorized official

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

{
    "created_epoch": "1463788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463788800000",
    "number": "1346697158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2711 E MADISON ST",
            "address_2": "SUITE 204A",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981124749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 E MADISON ST",
            "address_2": "SUITE 204A",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981124749",
            "telephone_number": "330-472-9667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSIDE OUT THERAPY ALLIANCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-21",
        "last_updated": "2016-05-21",
        "status": "A",
        "authorized_official_last_name": "REISBERG",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "330-472-9667",
        "authorized_official_credential": "MA, LMHCA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC60613549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gretchen C. Inocencio, RDH
• Romulo Luarca Inocencio
• Inpatient Physican Services PLLC
• Inresonance Inc
• Inside and Out Talk Therapy PLLC
• Insight Counseling Collective, PLLC
• Michal Inspektor, LICSW
• Inspired Circle Health, LLC
• Inspired Life Therapy
• Institute of Complementary Medicine LLC

• Mental Health Counselor in Seattle, WA
• Providers in Seattle, 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 May 21, 2016; 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.