PEMBERLEY VANDER LINDEN MA, LMFT - NPI 1316368707 - Marriage & Family Therapist in Renton, WA

Q: What is Pemberley Vander Linden's NPI number?

The NPI number for Pemberley Vander Linden is 1316368707. It was assigned to this individual provider in the NPPES registry on January 2, 2014.

Q: What is Pemberley Vander Linden's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: Is Pemberley Vander Linden enrolled in Medicare?

No. Pemberley Vander Linden has opted out of Medicare through March 6, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

On this page

About Pemberley Vander Linden Ma, Lmft NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEMBERLEY VANDER LINDEN MA, LMFT (NPI 1316368707) is an individual marriage & family therapist in Renton, Washington, licensed in Washington (LF60267695) and active in the NPI registry since January 2014. She has opted out of Medicare through March 6, 2028.

NPPES Registry Identity

NPI1316368707

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NamePEMBERLEY VANDER LINDENCredential: MA, LMFT

Location Address119 PELLY AVE NRenton, WA 98057-5714

Mailing Address17240 34th Ave SSeatac, WA 98188-4450 · (206) 473-9838

Phone(206) 473-9838

Sole ProprietorYes

Enumeration DateJanuary 2, 2014

✔ NPI 1316368707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in WA · LF60267695

Definition

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.

119 PELLY AVE N, Renton, WA 98057

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Pemberley Vander Linden Ma, Lmft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 6, 2024 through March 6, 2028.

Opt-Out Effective DateMarch 6, 2024

Opt-Out In Effect ThroughMarch 6, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GINNY D MILLER LMHC

Counselor (Mental Health)

119 PELLY AVE N, SUITE 1
RENTON, WA 98057

King County (425) 786-3737

SUSAN KAY WARD-MOYNIHAN LMHC

Counselor (Mental Health)