Laura Preciado, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY.60911217 Issued in WA

Practice address

1402 Lake Tapps Pkwy SE Ste. F104-392
Auburn, WA 98092-8157

Phone

(206) 588-6152

Fax

(206) 260-7390

NPI assigned

Aug 29, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Seattle Therapy Practice, PLLC

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

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

{
    "created_epoch": "1535500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629763200000",
    "number": "1821570573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1402 LAKE TAPPS PKWY SE STE. F104-392",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980928157",
            "telephone_number": "206-588-6152",
            "fax_number": "206-260-7390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 LAKE TAPPS PKWY SE STE. F104-392",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980928157",
            "telephone_number": "206-588-6152",
            "fax_number": "206-260-7390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRECIADO",
        "first_name": "LAURA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-29",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC60636204",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WA",
            "license": "PY.60911217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Potter
• Tyson Powell
• Olga Araceli Prado Leon
• Christopher Prather
• Salimatou Pratt
• Julie Prestegard, LMP
• Daniel Miguel Prettel, MD
• Dale K. Price, D.D.S.
• Katia Price
• Gregory Charles Priebe, D.C.

• Psychologist in Auburn, WA
• Providers in Auburn, WA by specialty
• Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.

Verify at the official NPI Registry.