Individual provider Active NPI

Lisa Annette Moulds, SUDPT

  • Addiction (Substance Use Disorder) Counselor
  • Bellingham, WA
National Provider Identifier
1336068584
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CDPT.CO.61664743 Issued in WA
Practice address
3240 Northwest Ave
Bellingham, WA 98225-1318
Phone
(855) 628-4509
NPI assigned
Jul 13, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CDPT.CO.61664743 WA Primary

Addresses

Primary practice location

3240 Northwest Ave
Bellingham, WA 98225-1318

Mailing address

619 Donovan Ave
Bellingham, WA 98225-7314
Phone (360) 201-7531

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1783900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1336068584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 DONOVAN AVE",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982257314",
            "telephone_number": "360-201-7531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3240 NORTHWEST AVE",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251318",
            "telephone_number": "855-628-4509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOULDS",
        "first_name": "LISA",
        "middle_name": "ANNETTE",
        "credential": "SUDPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-07-13",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CDPT.CO.61664743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.