Individual provider Active NPI

Cindy Perryman, MFT

  • Marriage & Family Therapist
  • Olympia, WA
National Provider Identifier
1891990586
Registry record updated Dec 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LF6024814 Issued in WA
Practice address
400 Union Ave SE Ste 200
Olympia, WA 98501-2060
Phone
(360) 797-9741
NPI assigned
Jun 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 38686 CA
Marriage & Family Therapist 106H00000X LF6024814 WA Primary

Addresses

Primary practice location

400 Union Ave SE Ste 200
Olympia, WA 98501-2060

Mailing address

400 Union Ave SE Ste 200
Olympia, WA 98501-2060
Phone (360) 979-9741

Other practice location 1

105 Norfolk Road
Winthrop, WA 98862
Phone (509) 223-7030

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@prn365counseling.com Direct

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

State licenses

LicenseStateTypeSpecialty
LF6024814WAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Resource Network 365 PLLC Marriage & Family Therapist Current Accepting new patients

Locations

103 Bighorn Way
Chelan, WA 98816
Phone (360) 797-9741

400 Union Ave SE
Ste 200
Olympia, WA 98501
Phone (202) 375-4508

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575417600000",
    "number": "1891990586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 UNION AVE SE STE 200",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985012060",
            "telephone_number": "360-979-9741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 UNION AVE SE STE 200",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985012060",
            "telephone_number": "360-797-9741"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 Norfolk Road",
            "address_purpose": "LOCATION",
            "city": "Winthrop",
            "state": "WA",
            "postal_code": "98862",
            "country_code": "US",
            "telephone_number": "509-223-7030",
            "fax_number": "509-223-7030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERRYMAN",
        "first_name": "CINDY",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-20",
        "last_updated": "2019-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "38686",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF6024814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@prn365counseling.com",
            "affiliation": "N",
            "endpointDescription": "HIPPA compliant email server",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "400 Union Ave SE Ste 200",
            "city": "Olympia",
            "state": "WA",
            "country_code": "US",
            "postal_code": "985012060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2019; 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.