Organization Active NPI

Krissy Perry Inc

  • Mental Health Counselor
  • Bellevue, WA
National Provider Identifier
1619344744
Registry record updated Feb 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH 60579749 Issued in WA
Legal business name
KRISSY PERRY INC
Practice address
4205 148TH Ave NE
Bellevue, WA 98007-7114
Phone
(425) 968-5948
Fax
(425) 658-3392
NPI assigned
Aug 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2017

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

Authorized official

Name
Kristina Perry, M.ED, LMHC, RPT
Title
Owner
Phone
(405) 919-5089

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X LH 60579749 WA Primary

Addresses

Primary practice location

4205 148TH Ave NE
Bellevue, WA 98007-7114

Mailing address

16020 SE 9TH St
Bellevue, WA 98008-4907
Phone (405) 919-5089

National Provider Directory

National Provider Directory

Locations

4205 148th Ave NE
Bellevue, WA 98007
Phone (425) 202-6041

NPI Registry JSON

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

{
    "created_epoch": "1440374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487116800000",
    "number": "1619344744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16020 SE 9TH ST",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980084907",
            "telephone_number": "405-919-5089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4205 148TH AVE NE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980077114",
            "telephone_number": "425-968-5948",
            "fax_number": "425-658-3392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISSY PERRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-24",
        "last_updated": "2017-02-15",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-919-5089",
        "authorized_official_credential": "M.ED, LMHC, RPT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH 60579749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 15, 2017; 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.