Active NPI
Lisa M Weir, BA
- Mental Health Counselor
- Lakewood, WA
National Provider Identifier
1083856389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- RC00052997
- Practice address
- 9330 59TH Ave SW
Lakewood, WA 98499-2858 - Phone
- (253) 620-5015
- Fax
- (253) 620-5831
- NPI assigned
- Apr 1, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | RC00052997 | WA | Primary |
Addresses
Primary practice location
9330 59TH Ave SW
Lakewood, WA 98499-2858
Mailing address
9330 59TH Ave SW
Lakewood, WA 98499-2858
Phone (253) 620-5015
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240710002930 | WA | Practitioner - Marriage and Family Therapist | 6002351442 | Practice locations: Vashon, WA |
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
7234 SW Point Robinson Rd
Vashon, WA 98070-7216
Phone (206) 406-7505
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RC00052997 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238544000000",
"number": "1083856389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9330 59TH AVE SW",
"city": "LAKEWOOD",
"state": "WA",
"postal_code": "984992858",
"telephone_number": "253-620-5015",
"fax_number": "253-620-5831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9330 59TH AVE SW",
"city": "LAKEWOOD",
"state": "WA",
"postal_code": "984992858",
"telephone_number": "253-620-5015",
"fax_number": "253-620-5831"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEIR",
"first_name": "LISA",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "BA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-01",
"last_updated": "2009-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "RC00052997",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.