Lisa Tatum Lopez, MA, LMHC, CMHS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH60237309 Issued in WA

Practice address

15408 Main St Unit 107
Mill Creek, WA 98012-9025

Phone

(425) 772-7234

Fax

(425) 377-0785

NPI assigned

Sep 7, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1189123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316390400000",
    "number": "1205021896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15408 MAIN ST UNIT 107",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980129025",
            "telephone_number": "425-772-7234",
            "fax_number": "425-377-0785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15408 MAIN ST UNIT 107",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980129025",
            "telephone_number": "425-772-7234",
            "fax_number": "425-377-0785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "LISA",
        "middle_name": "TATUM",
        "name_prefix": "Mrs.",
        "credential": "MA, LMHC, CMHS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-07",
        "last_updated": "2011-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60237309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ethan Jay Livingston
• Genna Lo, O.D.
• Maya Lofton, ND, LMT
• Andrew Loisel, OD
• Rebecca Danielle Long, LMP
• Alan D Lott, P.T.
• Karen Lovato, DDS
• Karen A Lowe, RN
• Jennifer Brooke Luginbill
• Abigail Luka

• Mental Health Counselor in Mill Creek, WA
• Providers in Mill Creek, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.