Intrepid Therapy Collective PLLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

INTREPID THERAPY COLLECTIVE PLLC

Practice address

720 Seneca St Ste 107
Seattle, WA 98101-3265

Phone

(833) 338-0038

NPI assigned

Mar 10, 2022

Last updated

Apr 26, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Benjamin BjorgaardNPI 1932868262

Title

Owner

Phone

(360) 230-8011

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Benjamin Bjorgaard, LMFT,LPC,LMHC,LPCC

  • Marriage & Family Therapist
  • Spokane, WA
  • NPI 1932868262

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1646870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714089600000",
    "number": "1366190191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2103 HARRISON AVE NW STE 2-875",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985022636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 SENECA ST STE 107",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981013265",
            "telephone_number": "833-338-0038"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 Gold Ave SW",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871023335",
            "country_code": "US",
            "telephone_number": "833-338-0038",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1336 NW Flanders St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972092645",
            "country_code": "US",
            "telephone_number": "833-338-0038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INTREPID THERAPY COLLECTIVE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-10",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-22",
        "status": "A",
        "authorized_official_last_name": "BJORGAARD",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-230-8011"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Seattle, WA
• Providers in Seattle, 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 Apr 26, 2024; 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.