Individual provider Active NPI

Maria Lise Flores, PH.D.

  • Clinical Psychologist
  • Vancouver, WA
National Provider Identifier
1023347218
Registry record updated Mar 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
4077 Issued in AZ
Practice address
4610 NE 77TH Ave Ste 133
Vancouver, WA 98662-6792
Phone
(564) 213-8191
Fax
(564) 238-4824
NPI assigned
Dec 17, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 4077 AZ Primary
Health Psychologist 103TH0004X 4077 AZ

Addresses

Primary practice location

4610 NE 77TH Ave Ste 133
Vancouver, WA 98662-6792

Mailing address

3302 NE 91St St
Vancouver, WA 98665-9517
Phone (564) 232-8225

Other identifiers 1

IdentifierTypeStateIssuer
12068811OtherCAQH

Other names 1

  • Dr. Lise Flores-Reed Former name

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
I20230104001054 WA Practitioner - Clinical Psychologist 6800266073 Practice locations: Vancouver, WA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4610 NE 77TH Ave
Suite 133
Vancouver, WA 98662-6792
Phone (564) 232-8225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
4077AZMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Carefree NW Health Psychology PLLC Clinical CurrentSince Sep 15, 2022 Accepting new patients

Locations

400 E Evergreen Blvd
Ste 102
Vancouver, WA 98660
Phone (360) 935-0644

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1261008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773964800000",
    "number": "1023347218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3302 NE 91ST ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986659517",
            "telephone_number": "564-232-8225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4610 NE 77TH AVE STE 133",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626792",
            "telephone_number": "564-213-8191",
            "fax_number": "564-238-4824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORES",
        "first_name": "MARIA",
        "middle_name": "LISE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-17",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "4077",
            "primary": true
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "AZ",
            "license": "4077",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12068811",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISE",
            "last_name": "FLORES-REED",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.