Lisa M Hardebeck, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY2596 Issued in WA

Practice address

621 Pacific Ave
Suite 109
Tacoma, WA 98402-4600

Phone

(253) 269-6063

Fax

(360) 539-5938

NPI assigned

Dec 29, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 1, 2026 through Jan 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Select Services by Ops, PLLC

  • Clinical Psychologist
  • Tacoma, WA
  • NPI 1447981832
  NPD Authorized official

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376611200000",
    "number": "1306823398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 PACIFIC AVE",
            "address_2": "SUITE 109",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984024600",
            "telephone_number": "253-269-6063",
            "fax_number": "360-539-5938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 PACIFIC AVE",
            "address_2": "SUITE 109",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984024600",
            "telephone_number": "253-269-6063",
            "fax_number": "360-539-5938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDEBECK",
        "first_name": "LISA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-29",
        "last_updated": "2013-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "WA",
            "license": "PY00002596",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY2596",
            "primary": true
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": "PY2596",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyra Harames
• Colleen Marie Harb, OTR/L
• Stacie Harber, AUD
• Harbor Home Therapy & Wellness LLC
• Harbor Kids Dental & Orthodontics of Tacoma PC
• Huong Harden
• Sierra Judith-Marie Harden
• Ellen Marie Hardin, MD
• Madisyn Kamele Harding, DDS
• Hardtke'S House Calls, LLC

• Clinical Psychologist in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Clinical Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2013; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.