Individual provider Active NPI

Lynette Ann Pang, MA, LMHC

  • Mental Health Counselor
  • Seattle, WA
National Provider Identifier
1295892032
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH00009904 Issued in WA
Practice address
2366 Eastlake Ave E Ste 312
Seattle, WA 98102-3399
Phone
(206) 251-6359
NPI assigned
Jan 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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 LH00009904 WA Primary

Addresses

Primary practice location

2366 Eastlake Ave E Ste 312
Seattle, WA 98102-3399

Mailing address

2366 Eastlake Ave E Ste 312
Seattle, WA 98102-3399
Phone (206) 251-6359

Other names 1

  • Lynette Ann Barn Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240131004662 WA Practitioner - Mental Health Counselor 4385097880 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health Center of Snohomish CountyGroup PAC ID 0446152003, 84 clinicians

Practice addresses (Care Compare)

1424 Broadway
Everett, WA 98201-1720
Phone (425) 789-2000

2366 Eastlake Ave E
Suite 312
Seattle, WA 98102-3399
Phone (206) 251-6359

4111 194TH St SW
Lynnwood, WA 98036-4604
Phone (425) 835-5200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LH00009904WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Phase 3 Counseling & Consultation PLLC CurrentSince Jan 1, 2024 Accepting new patients
Community Health Center of Snohomish County CurrentSince Oct 31, 2024 Accepting new patients
Community Health Center of Snohomish County CurrentSince Oct 31, 2024 Accepting new patients

Locations

326 S Stillaguamish Ave
Arlington, WA 98223
Phone (360) 435-2144

23320 Highway 99
Edmonds, WA 98026
Phone (425) 640-5500

1424 Broadway
Everett, WA 98201
Phone (425) 551-1000

1019 112th St SW
Everett, WA 98204
Phone (425) 551-6001

8609 Evergreen Way
Everett, WA 98208
Phone (425) 551-6200

4201 Rucker Ave
Everett, WA 98203
Phone (425) 382-4000

930 N Broadway
Everett, WA 98201
Phone (425) 317-0300

4111 194th St SW
Lynnwood, WA 98036
Phone (425) 835-5200

2366 Eastlake Ave E
Ste 312
Seattle, WA 98102
Phone (206) 251-6359

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": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1295892032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2366 EASTLAKE AVE E STE 312",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981023399",
            "telephone_number": "206-251-6359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2366 EASTLAKE AVE E STE 312",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981023399",
            "telephone_number": "206-251-6359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANG",
        "first_name": "LYNETTE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "MA, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00009904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNETTE",
            "last_name": "BARN",
            "middle_name": "ANN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.