Active NPI
Teresa Rhay Holmberg, BS, AAC
- Counselor
- Bothell, WA
National Provider Identifier
1386217842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 2204 186TH PL SE
Bothell, WA 98012-8710 - Phone
- (425) 319-1485
- NPI assigned
- Jul 22, 2021
- Last updated
- Jul 22, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | WA | Primary |
Addresses
Primary practice location
2204 186TH PL SE
Bothell, WA 98012-8710
Mailing address
16307 Ne83Rd St
Suite 101
Redmond, WA 98012
Phone (425) 968-5921
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
- Credentials
- Bachelor of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ikron Greater Seattle | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Bellevue, WA
- NPI 1205230935
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626912000000",
"number": "1386217842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16307 NE83RD ST",
"address_2": "SUITE 101",
"city": "REDMOND",
"state": "WA",
"postal_code": "98012",
"telephone_number": "425-968-5921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2204 186TH PL SE",
"city": "BOTHELL",
"state": "WA",
"postal_code": "980128710",
"telephone_number": "425-319-1485"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLMBERG",
"first_name": "TERESA",
"middle_name": "RHAY",
"credential": "BS, AAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-22",
"last_updated": "2021-07-22",
"certification_date": "2021-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bothell, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.