Lourdes Villarreal Liera, SUDPT

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CP61205152 Issued in WA

Practice address

3350 Airport Dr
Bellingham, WA 98226-8048

Phone

(360) 734-5458

Fax

(360) 734-5298

NPI assigned

Oct 30, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1572393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630972800000",
    "number": "1013551340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3350 AIRPORT DR",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982268048",
            "telephone_number": "360-734-5458",
            "fax_number": "360-734-5298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 AIRPORT DR",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982268048",
            "telephone_number": "360-734-5458",
            "fax_number": "360-734-5298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIERA",
        "first_name": "LOURDES",
        "middle_name": "VILLARREAL",
        "credential": "SUDPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-30",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CO60965287",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP61205152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Libolt
• Jason C Lichtenberger, MD
• Daniel Evans Liddicoet
• Robin Lieb, RN
• Casey James Lien, M.D.
• Lifegiving Essentials LLC
• Lifeline Connections
• Elynn Anae Light
• Jill A. Likkel, LAC
• Martha Liljegren

• Addiction (Substance Use Disorder) Counselor in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Addiction (Substance Use Disorder) Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.