PEMBERLEY VANDER LINDEN (NPI# 1316368707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316368707 |
| Entity Type | Individual |
| Full Name | PEMBERLEY VANDER LINDEN |
| Credential | MA, LMFT |
| Practice Address |
119 Pelly Ave N Renton WA 98057-5714 |
| Mailing Address |
17240 34th Ave S Seatac WA 98188-4450 |
| Practice Telephone | 2064739838 |
| Mailing Telephone | 2064739838 |
| Enumeration Date | 2014-01-02 |
| Last Update Date | 2014-01-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | LF60267695 | WA | Behavioral Health & Social Service Providers |
| Street Address |
119 PELLY AVE N |
| City | RENTON |
| State | WA |
| Zip Code | 98057-5714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003963752 | Ginny D Miller | Counselor | 119 Pelly Ave N, Suite 1, Renton, WA 98057-5714 | 2007-01-04 |
| 1831607787 | Matthew Dimond | Social Worker | 119 Pelly Ave N, Renton, WA 98057-5714 | 2018-01-12 |
| 1518495936 | Richard Terry | Counselor | 119 Pelly Ave N, Renton, WA 98057-5714 | 2017-05-30 |
| 1437557691 | Cedar River Psychotherapy & Recovery LLC | Community/Behavioral Health | 119 Pelly Ave N, Renton, WA 98057-5714 | 2014-12-19 |
| 1659653517 | Alaina Kay Goodman | Counselor | 119 Pelly Ave N, Renton, WA 98057-5714 | 2011-09-15 |
| 1053563478 | Susan Kay Ward-moynihan | Counselor | 119 Pelly Ave N, Renton, WA 98057-5714 | 2008-10-16 |
| 1235388208 | Gina Rochelle Handley | Counselor | 119 Pelly Ave N, Renton, WA 98057-5714 | 2008-09-15 |
| 1386828986 | Gail Margaret Monson | Counselor | 119 Pelly Ave N, Renton, WA 98057-5714 | 2007-12-19 |
| 1154503142 | Vital Changes, Inc. | Counselor | 119 Pelly Ave N, Renton, WA 98057-5714 | 2007-11-30 |
| 1497957542 | David Mcfarlane, Phd | Counselor | 119 Pelly Ave N, Renton, WA 98057-5714 | 2007-06-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043856628 | Megan Ramaiya | Student in an Organized Health Care Education/Training Program | King Count Sexual Assault & Resource Center, 200 Mill Ave S # 10, Renton, WA 98057 | 2019-11-19 |
| 1063076255 | Breanne Michele Smiley | Specialist/Technologist | 737 Logan Ave N, Renton, WA 98057 | 2019-04-24 |
| 1093215063 | Laura Lewis | Physical Medicine & Rehabilitation | 1000 Oakesdale Ave Sw Ste 100, Renton, WA 98057 | 2018-02-16 |
| 1437676004 | Ralph William Papke Jr. | Counselor | Kaiser Permanente of Wa, 1200 Sw 27th St, Renton, WA 98057 | 2017-08-24 |
| 1487106456 | Serengeti Care Partners LLC | Community/Behavioral Health | 707 S- Grady Way, Suite 6008, Renton, WA 98057 | 2016-10-26 |
| 1548716152 | Phandinh Ngoc Nguyen | Naturopath | 330 Sw 43rd St,suite L, Renton, WA 98057 | 2016-09-01 |
| 1275905721 | Todd R Glass | Chiropractor | 1024 N 10th Pl #2306, Renton, WA 98057 | 2015-10-23 |
| 1134595341 | Have A Heart | Case Management | 151 Taylor Ave Nw, Renton, WA 98057 | 2015-08-12 |
| 1780087171 | Brianne N Lefferts | Physical Therapist | 300 Sw 7th Street, Renton, WA 98057 | 2014-09-30 |
| 1588089460 | Sound Association Western Washington LLC | Audiologist | 108 Factory Ave. N., Ste 2b, Renton, WA 98057 | 2014-02-28 |
| Find all providers in zip 98057 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407465404 | Kalila Marie Griffin | Marriage & Family Therapist | 15 S Grady Way Ste 214, Renton, WA 98057-3220 | 2020-07-26 |
| 1396379962 | Thomas Thornsberry Smith | Marriage & Family Therapist | 306 Wells Ave S Unit D, Renton, WA 98057-2786 | 2020-02-23 |
| 1841721073 | Stand By You Therapy, Pllc | Marriage & Family Therapist | 2116 Ne 28th St, Renton, WA 98056-2224 | 2017-03-21 |
| 1982023446 | Jacqueline Marie Delisle | Marriage & Family Therapist | 221 Wells Ave S, Renton, WA 98057-2161 | 2014-04-14 |
| 1225310519 | Elizabeth Ann Moore | Marriage & Family Therapist | 220 S. 3rd Pl., Renton, WA 98057 | 2011-09-13 |
| 1346554797 | Amy D Harp | Marriage & Family Therapist | 15 S Grady Way Ste 406, Renton, WA 98057-3216 | 2010-07-27 |
| 1235284241 | Mary Jane Gassert | Marriage & Family Therapist | 321 Burnett Ave S # 207, Renton, WA 98055-2558 | 2007-01-23 |
| 1760559090 | Carol Lynn Kelley | Marriage & Family Therapist | 258 Sw 43rd St, A, Renton, WA 98055-4957 | 2006-11-30 |
| 1154417954 | Diana Lynn Pollock | Marriage & Family Therapist | 607 Sw Grady Way, Suite 130, Renton, WA 98057 | 2006-10-05 |
| 1578522629 | Jean W Eakins | Marriage & Family Therapist | 1700 Edmonds Ave Ne, Renton, WA 98056-2713 | 2006-03-18 |
| Find all providers in RENTON | ||||
Please comment or provide details below to improve the information on PEMBERLEY VANDER LINDEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.