Lyndee Elsie Retzlaff

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CP60390127 Issued in WA

Practice address

9575 Ethan Wade Way SE
Snoqualmie, WA 98065-9577

Phone

(425) 831-5425

Fax

(425) 831-5428

NPI assigned

Jan 27, 2014

Last updated

Feb 3, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Sauk-Suiattle Indian Tribe

  • Children's Substance Abuse Rehabilitation Facility
  • Darrington, WA
  • NPI 1265588537
  NPD (past)

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

{
    "created_epoch": "1390780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675382400000",
    "number": "1326461401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 969",
            "address_2": "ATTN LYNDEE RETZLAFF",
            "city": "SNOQUALMIE",
            "state": "WA",
            "postal_code": "980650969",
            "telephone_number": "425-831-5425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9575 ETHAN WADE WAY SE",
            "city": "SNOQUALMIE",
            "state": "WA",
            "postal_code": "980659577",
            "telephone_number": "425-831-5425",
            "fax_number": "425-831-5428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RETZLAFF",
        "first_name": "LYNDEE",
        "middle_name": "ELSIE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-27",
        "last_updated": "2023-02-03",
        "certification_date": "2023-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP60390127",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2178783",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Royale Rand, DPT
• Jesse Rappaport, MD
• Redwood Counseling, PLLC
• Kaylin Anne Reeve, ARNP
• Resilient Health
• Revitalize Movement Physical Therapy Studio LLC (FYZICAL Therapy and Balance Center Snoqualmie)
• Adrienne Richards, RN
• Rachel L Richter, M.A., L.M.H.C.
• Ridge Pharmacy
• RMP Logic LLC

• Addiction (Substance Use Disorder) Counselor in Snoqualmie, WA
• Providers in Snoqualmie, WA by specialty
• Addiction (Substance Use Disorder) Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2023; 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.