Individual provider Active NPI

Lisa Blechschmidt

  • Mental Health Counselor
  • Everett, WA
National Provider Identifier
1063186062
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MC61376814 Issued in WA
Practice address
115 124TH St SE Apt F7
Everett, WA 98208-5715
Phone
(425) 749-4197
NPI assigned
Aug 3, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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 MC61376814 WA Primary

Addresses

Primary practice location

115 124TH St SE Apt F7
Everett, WA 98208-5715

Mailing address

115 124TH St SE Apt F7
Everett, WA 98208-5715
Phone (425) 749-4197

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Empoweredfrontlinetherapy.com

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

State licenses

LicenseStateTypeSpecialty
MC61376814WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1627948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1063186062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 124TH ST SE APT F7",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982085715",
            "telephone_number": "425-749-4197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 124TH ST SE APT F7",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982085715",
            "telephone_number": "425-749-4197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLECHSCHMIDT",
        "first_name": "LISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-03",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC61376814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Empoweredfrontlinetherapy.com",
            "affiliation": "N",
            "endpointDescription": "private practice website",
            "address_1": "115 124th St SE Apt F7",
            "city": "Everett",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982085715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; 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.