Healthcare Provider Details

I. General information

NPI: 1841647609
Provider Name (Legal Business Name): NEW PERCEPTIONS COUNSELING, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2016
Last Update Date: 11/03/2021
Certification Date: 11/03/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12805 NE 190TH PL
BOTHELL WA
98011-3129
US

IV. Provider business mailing address

12805 NE 190TH PL
BOTHELL WA
98011-3129
US

V. Phone/Fax

Practice location:
  • Phone: 425-736-7882
  • Fax:
Mailing address:
  • Phone: 425-736-7882
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLW00004142
License Number StateWA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier1689792400
Identifier TypeOTHER
Identifier StateWA
Identifier IssuerINDIVIDUAL NPI

VIII. Authorized Official

Name: BARBARA J BROWN
Title or Position: OWNER
Credential: MSW
Phone: 425-736-7882