Individual provider Active NPI

Lisa Maari Fladager, LMHC, R-DMT, CMA

  • Mental Health Counselor
  • Langley, WA
National Provider Identifier
1043247166
Registry record updated Apr 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH00006356 Issued in WA
Practice address
2812 E. Meinhold Rd.
Langley, WA 98260-0861
Phone
(360) 221-2677
NPI assigned
Jun 26, 2006
Last updated
Apr 9, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH00006356 WA Primary

Addresses

Primary practice location

2812 E. Meinhold Rd.
Langley, WA 98260-0861

Mailing address

PO Box 861
2812 E. Meinhold Rd.
Langley, WA 98260-0861
Phone (360) 221-2677

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Certified Medical Assistant

State licenses

LicenseStateTypeSpecialty
LH00006356WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333929600000",
    "number": "1043247166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 861",
            "address_2": "2812 E. MEINHOLD RD.",
            "city": "LANGLEY",
            "state": "WA",
            "postal_code": "982600861",
            "telephone_number": "360-221-2677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2812 E. MEINHOLD RD.",
            "city": "LANGLEY",
            "state": "WA",
            "postal_code": "982600861",
            "telephone_number": "360-221-2677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLADAGER",
        "first_name": "LISA",
        "middle_name": "MAARI",
        "name_prefix": "Ms.",
        "credential": "LMHC, R-DMT, CMA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2012-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00006356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Langley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2012; 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.