Individual provider Active NPI

Lori Woehler, PSYD

  • Psychologist
  • Olympia, WA
National Provider Identifier
1003488792
Registry record updated Jul 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6352000523 Issued in MI
Practice address
9101 Steilacoom Rd SE Unit 26
Olympia, WA 98513-6115
Phone
(425) 785-1553
NPI assigned
Jul 13, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6352000523 MI Primary

Addresses

Primary practice location

9101 Steilacoom Rd SE Unit 26
Olympia, WA 98513-6115

Mailing address

9101 Steilacoom Rd SE Unit 26
Olympia, WA 98513-6115
Phone (425) 785-1553

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 5, 2024 through Jan 5, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6352000523MIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Bellevue Psychotherapy, PS LTD Psychologist Current Accepting new patients

Locations

1400 112th Ave SE
Ste 100
Bellevue, WA 98004
Phone (425) 455-2526

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1626134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626134400000",
    "number": "1003488792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9101 STEILACOOM RD SE UNIT 26",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985136115",
            "telephone_number": "425-785-1553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9101 STEILACOOM RD SE UNIT 26",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985136115",
            "telephone_number": "425-785-1553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOEHLER",
        "first_name": "LORI",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-13",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6352000523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

Verify at the official NPI Registry.