Individual provider Active NPI

Alena Lee

  • Psychologist
  • Vancouver, WA
National Provider Identifier
1003107582
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY61109081 Issued in WA
Practice address
315 SE Stonemill Dr
Vancouver, WA 98684-6998
Phone
(360) 729-8020
Fax
(360) 729-8021
NPI assigned
May 2, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY61109081 WA Primary

Addresses

Primary practice location

315 SE Stonemill Dr
Vancouver, WA 98684-6998

Mailing address

945 W Julian St
San Jose, CA 95126-2710

Other practice location 1

945 W Julian St
San Jose, CA 95126-2710
Phone (408) 510-7080 ext. 4241

Other practice location 2

3101 SE 192nd Ave
Vancouver, WA 98683-1442
Phone (360) 729-8010

Other practice location 3

700 Washington St
Vancouver, WA 98660-3177
Phone (360) 729-8030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210621002793 WA Practitioner - Clinical Psychologist 6002216579 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
PeacehealthGroup PAC ID 8820178288, 245 clinicians

Practice addresses (Care Compare)

505 NE 87TH Ave
Vancouver, WA 98664-1965

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Peacehealth CurrentSince Dec 30, 2024 Accepting new patients
Momentum for Health Psychologist Past Accepting new patients

Locations

505 NE 87th Ave
Ste 301
Vancouver, WA 98664
Phone (360) 514-1854

3101 SE 192nd Ave
Vancouver, WA 98683
Phone (360) 729-8010

1115 SE 164th Ave
Dept 364
Vancouver, WA 98683
Phone (360) 735-8100

315 SE Stonemill Dr
Vancouver, WA 98684
Phone (360) 729-8020

315 SE Stonemill Dr
Ste 102
Vancouver, WA 98684
Phone (360) 816-2700

Networks

  • devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e
  • WA PPO C-SNP

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1304294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1003107582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 W JULIAN ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951262710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 SE STONEMILL DR",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986846998",
            "telephone_number": "360-729-8020",
            "fax_number": "360-729-8021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "945 W Julian St",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951262710",
            "country_code": "US",
            "telephone_number": "408-510-7080 x4241",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3101 SE 192nd Ave",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986831442",
            "country_code": "US",
            "telephone_number": "360-729-8010",
            "fax_number": "360-729-8011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 Washington St",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986603177",
            "country_code": "US",
            "telephone_number": "360-729-8030",
            "fax_number": "360-729-8031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "ALENA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-02",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WA",
            "license": "PY61109081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.