Individual provider Active NPI

Lynn Owens, LMHC

  • Mental Health Counselor
  • Richland, WA
National Provider Identifier
1285987305
Registry record updated Apr 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH60515878 Issued in WA
Practice address
1355 Columbia Park TRL Ste E
Richland, WA 99352-4770
Phone
(509) 460-8006
Fax
(509) 834-7286
NPI assigned
Oct 26, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2022

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 LH60515878 WA Primary

Addresses

Primary practice location

1355 Columbia Park TRL Ste E
Richland, WA 99352-4770

Mailing address

625 E. Twiggs St Ste 1000
PMB 91825
Tampa, FL 33602-3931
Phone (509) 795-1944

Other practice location 1

625 E Twiggs St Ste 1000
Tampa, FL 33602-3931
Phone (509) 795-1944

Other identifiers 1

IdentifierTypeStateIssuer
2039983MedicaidWA

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
LH60515878WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Canyon Lakes Family Counseling Mental Health Current Accepting new patients
Thrive Family Counseling Mental Health Current Accepting new patients
Canyon Lakes Family Counseling Center Mental Health PastSince Apr 24, 2022 Accepting new patients

Locations

625 E Twiggs St
Ste 1000
Tampa, FL 33602
Phone (202) 918-9450

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1351209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650585600000",
    "number": "1285987305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 E. TWIGGS ST STE 1000",
            "address_2": "PMB 91825",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336023931",
            "telephone_number": "509-795-1944",
            "fax_number": "509-834-7286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 COLUMBIA PARK TRL STE E",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993524770",
            "telephone_number": "509-460-8006",
            "fax_number": "509-834-7286"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "625 E Twiggs St Ste 1000",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336023931",
            "country_code": "US",
            "telephone_number": "509-795-1944",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OWENS",
        "first_name": "LYNN",
        "name_prefix": "Mr.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-26",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60515878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2039983",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2022; 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.