Organization Active NPI

Peter Scheenstra MSW Inc

  • Case Management Agency
  • Bellevue, WA
National Provider Identifier
1528028446
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
LW00005292 Issued in WA
Legal business name
PETER SCHEENSTRA MSW INC
Practice address
1621 114TH Ave SE
Suite 224
Bellevue, WA 98004
Phone
(425) 451-0112
Fax
(424) 450-5561
NPI assigned
Mar 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Prof. Peter Scheenstra, M.S.W.
Title
Psycotherapist
Phone
(425) 451-0112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X LW00005292 WA Primary

Addresses

Primary practice location

1621 114TH Ave SE
Suite 224
Bellevue, WA 98004

Mailing address

1621 114TH Ave SE,Suite 224
Bellevue, WA 98004
Phone (425) 451-0112

Other names 1

  • None Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528028446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 114TH AVE SE,SUITE 224",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "98004",
            "telephone_number": "425-451-0112",
            "fax_number": "424-450-5561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 114TH AVE SE",
            "address_2": "SUITE 224",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "98004",
            "telephone_number": "425-451-0112",
            "fax_number": "424-450-5561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER SCHEENSTRA MSW INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHEENSTRA",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "PSYCOTHERAPIST",
        "authorized_official_telephone_number": "425-451-0112",
        "authorized_official_name_prefix": "Prof.",
        "authorized_official_credential": "M.S.W."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "WA",
            "license": "LW00005292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "None",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.