Active NPI
Lisa Jay Hade, RC
- Counselor
- Lynnwood, WA
National Provider Identifier
1164670147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- RC00034987
- Practice address
- 4807 196TH St SW Ste 100
Lynnwood, WA 98036-6409 - Phone
- (425) 774-4269
- NPI assigned
- Sep 3, 2008
- Last updated
- Sep 3, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | RC00034987 | WA | Primary |
Addresses
Primary practice location
4807 196TH St SW Ste 100
Lynnwood, WA 98036-6409
Mailing address
4217 212TH St SE
Bothell, WA 98021-7933
Phone (206) 792-6780
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
| License | State | Type | Specialty |
|---|---|---|---|
| RC00034987 | WA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220400000000",
"number": "1164670147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4217 212TH ST SE",
"city": "BOTHELL",
"state": "WA",
"postal_code": "980217933",
"telephone_number": "206-792-6780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4807 196TH ST SW STE 100",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980366409",
"telephone_number": "425-774-4269"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HADE",
"first_name": "LISA",
"middle_name": "JAY",
"name_prefix": "Mrs.",
"credential": "RC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-03",
"last_updated": "2008-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WA",
"license": "RC00034987",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lynnwood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.