Andrew Pereira, PHD, MS

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

PY61243349 Issued in WA

Practice address

1417 NW 54TH St Ste 320
Seattle, WA 98107-3571

Phone

(206) 659-8365

NPI assigned

Jul 20, 2021

Last updated

Oct 15, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Opted out of Medicare

Yes, effective Mar 12, 2024 through Mar 12, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science, Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Bob's Psychotherapy

  • Clinic/Center
  • Seattle, WA
  • NPI 1518787035
  NPD
• Seattle Therapy Practice, PLLC

  dba Agnes Kwong

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Seattle, WA
  • NPI 1598269110

  Counseling

  NPD

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

{
    "created_epoch": "1626739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792022400000",
    "number": "1487227195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1417 NW 54TH ST STE 320",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981073571",
            "telephone_number": "206-659-8365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 NW 54TH ST STE 320",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981073571",
            "telephone_number": "206-659-8365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREIRA",
        "first_name": "ANDREW",
        "credential": "PHD, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-20",
        "last_updated": "2026-10-15",
        "certification_date": "2026-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "WA",
            "license": "PY61243349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Michelle Perdue, PA-C
• Brendan Perdue
• Charles Justin Pere, L.M.H.C.
• Noemi Lalaine Peredo, LICSW
• Peregrine Pacific Anesthesia PLLC
• Cynthia Amy Pereira, PA-C
• Gail Judy Pereira, ARNP
• Peter Pereira, MD
• Bennitt Perelstine
• Carla Susana Peressin, CPC

• Counseling Psychologist in Seattle, WA
• Providers in Seattle, WA by specialty
• Counseling Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.