NPIMap

Organization Active NPI

Hero House

  • Community/Behavioral Health Agency
  • Bellevue, WA
National Provider Identifier
1982994364
Registry record updated Jun 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
602931844 Issued in WA
Legal business name
HERO HOUSE
Practice address
12838 SE 40TH PL
Bellevue, WA 98006
Phone
(425) 614-1282
Fax
(425) 614-1294
NPI assigned
Apr 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2018

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

Authorized official

Name
Kailey Fiedler-Gohlke, MA, CRC
Title
Executive Director
Phone
(425) 614-1282

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 602931844 WA Primary

Addresses

Primary practice location

12838 SE 40TH PL
Bellevue, WA 98006

Mailing address

12838 SE 40TH PL
Bellevue, WA 98006
Phone (425) 614-1282

National Provider Directory

National Provider Directory

Locations

12838 SE 40th Pl
Bellevue, WA 98006
Phone (425) 614-1282

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1303171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529971200000",
    "number": "1982994364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12838 SE 40TH PL",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "98006",
            "telephone_number": "425-614-1282",
            "fax_number": "425-614-1294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12838 SE 40TH PL",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "98006",
            "telephone_number": "425-614-1282",
            "fax_number": "425-614-1294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERO HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-19",
        "last_updated": "2018-06-26",
        "status": "A",
        "authorized_official_last_name": "FIEDLER-GOHLKE",
        "authorized_official_first_name": "KAILEY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "425-614-1282",
        "authorized_official_credential": "MA, CRC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WA",
            "license": "602931844",
            "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 Jun 26, 2018; 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.