Individual provider Active NPI

Lisa Louise Taylor-Tussey

  • Mental Health Counselor
  • Spokane, WA
National Provider Identifier
1306311568
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH60800926 Issued in WA
Practice address
5901 N Lidgerwood St
Spokane, WA 99208-5095
Phone
(509) 444-8200
NPI assigned
Oct 3, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CP60137791 WA
Mental Health Counselor 101YM0800X LH60800926 WA Primary

Addresses

Primary practice location

5901 N Lidgerwood St
Spokane, WA 99208-5095

Mailing address

611 N Iron Bridge Way Ste 223
Spokane, WA 99202-4932

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
I20240701000660 WA Practitioner - Mental Health Counselor 4688118771 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CP60137791WAMDAddiction (Substance Use Disorder) Counselor
LH60800926WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Association of Spokane Current Accepting new patients
Community Health Association of Spokane CurrentSince Sep 27, 2024 Accepting new patients
Community Health Association of Spokane CurrentSince Sep 27, 2024 Accepting new patients
Passages Family Support a Nonprofit Corporation CurrentSince Jun 1, 2024 Accepting new patients
Passages Family Support a Nonprofit Corporation PastSince Jun 1, 2024 Accepting new patients

Locations

1720 2nd St
Cheney, WA 99004
Phone (207) 865-8002

611 N Iron Bridge Way
Ste 223
Spokane, WA 99202

5921 N Market St
Spokane, WA 99208
Phone (509) 487-1604

817 S Perry St
Unit B
Spokane, WA 99202
Phone (509) 462-6575

611 N Iron Bridge Way
Spokane, WA 99202

1001 W 2nd Ave
Spokane, WA 99201
Phone (509) 835-1205

5901 N Lidgerwood St
Ste 223
Spokane, WA 99208
Phone (509) 489-4763

3919 N Maple St
Spokane, WA 99205
Phone (509) 326-6900

1700 S Assembly Rd
Ste 300
Spokane, WA 99224
Phone (509) 892-9241

914 W Carlisle Ave
Spokane, WA 99205
Phone (509) 325-0393

5620 S Regal St
Ste 11
Spokane, WA 99223
Phone (509) 340-1590

15812 E Indiana Ave
Ste 101
Spokane Valley, WA 99216

Organizations & group practices 5

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": "1538524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1306311568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 N IRON BRIDGE WAY STE 223",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992024932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 N LIDGERWOOD ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992085095",
            "telephone_number": "509-444-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR-TUSSEY",
        "first_name": "LISA",
        "middle_name": "LOUISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-03",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP60137791",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60800926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.