Lisa Marks Mahon

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH00004582 Issued in WA

Practice address

826 Adams St.
Port Townsend, WA 98368-5506

Phone

(360) 385-7760

Fax

(360) 385-6387

NPI assigned

Mar 12, 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

Other names 1

• Ms. Lisa Marks Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 25, 2024 through Apr 25, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255463303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1001",
            "city": "PORT TOWNSEND",
            "state": "WA",
            "postal_code": "983680008",
            "telephone_number": "360-385-7760",
            "fax_number": "360-385-6387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 ADAMS ST.",
            "city": "PORT TOWNSEND",
            "state": "WA",
            "postal_code": "983685506",
            "telephone_number": "360-385-7760",
            "fax_number": "360-385-6387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHON",
        "first_name": "LISA",
        "middle_name": "MARKS",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00004582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "MARKS",
            "prefix": "MS.",
            "credential": "MA LMHC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Emily N Madden I, LMT
• Madrona Family Medicine, PS
• Madrona Hill Urgent Care, LLC
• Madrona Institute of Washington
• Frank B Magill Jr., M.D.
• Bradley Maier
• Roberta Scarlate Gil Maire
• Kelly Marie Malone V
• Zachary D Mangum, ARNP
• Christopher P. Manik, MD

• Mental Health Counselor in Port Townsend, WA
• Providers in Port Townsend, 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.