Individual provider Active NPI

Lisa Caldwell, MS

  • Mental Health Counselor
  • Olympia, WA
National Provider Identifier
1326415720
Registry record updated Nov 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH60848403 Issued in WA
Practice address
2116 Caton Way SW Ste 102
Olympia, WA 98502
Phone
(206) 496-2770
NPI assigned
Sep 1, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X NU60681879 WA
Mental Health Counselor 101YM0800X LH60848403 WA Primary

Addresses

Primary practice location

2116 Caton Way SW Ste 102
Olympia, WA 98502

Mailing address

2116 Caton Way SW Ste 102
Olympia, WA 98502-1176
Phone (206) 496-2770

Other practice location 1

14270 NE 21st St
Sound Mental Health
Bellevue, WA 98007-3720
Phone (425) 653-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Nov 24, 2018 through Nov 24, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LH60848403WAMDMental Health Counselor
NU60681879WAMDNutritionist

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Past Accepting new patients
Hartsspace LLC Mental Health PastSince Nov 17, 2019 Accepting new patients

Organizations & group practices 2

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": "1441065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573344000000",
    "number": "1326415720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2116 CATON WAY SW STE 102",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985021176",
            "telephone_number": "206-496-2770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2116 CATON WAY SW STE 102",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "98502",
            "telephone_number": "206-496-2770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14270 NE 21st St",
            "address_2": "Sound Mental Health",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980073720",
            "country_code": "US",
            "telephone_number": "425-653-5000",
            "fax_number": "425-653-5010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALDWELL",
        "first_name": "LISA",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-01",
        "last_updated": "2019-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "WA",
            "license": "NU60681879",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60848403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

Verify at the official NPI Registry.