Healthcare Provider Details

I. General information

NPI: 1194699462
Provider Name (Legal Business Name): TERENCE THORPE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/01/2025
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11911 NE 1ST ST STE 205
BELLEVUE WA
98005-3056
US

IV. Provider business mailing address

15446 BEL RED RD STE 401
REDMOND WA
98052-5507
US

V. Phone/Fax

Practice location:
  • Phone: 971-801-2054
  • Fax:
Mailing address:
  • Phone: 971-801-2054
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: