Lisa Smyth, LICSW

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CP00001986 Issued in WA

Practice address

30 W Main St Ste 304
Walla Walla, WA 99362-2872

Phone

(509) 525-8844

Fax

(509) 525-7755

NPI assigned

Sep 13, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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 Oct 1, 2015 through Oct 1, 2027

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Northwest Counseling Solutions

  • Clinical Social Worker
  • Walla Walla, WA
  • NPI 1902901002

  Addiction (Substance Use Disorder)

  NPD (past) Authorized official
• Palouse Counseling Service, PLLC

  • Clinical Social Worker
  • Walla Walla, WA
  • NPI 1699974113
  NPD (past)

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1346345436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 W MAIN ST STE 304",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993622872",
            "telephone_number": "509-525-8844",
            "fax_number": "509-525-7755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 W MAIN ST STE 304",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993622872",
            "telephone_number": "509-525-8844",
            "fax_number": "509-525-7755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMYTH",
        "first_name": "LISA",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP00001986",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00004569",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tawn Wayne Smith-McQueen, CPSS
• Eileen Pazderka Smith, MD
• Jennifer E Smith, A.R.N.P.
• Matthew Smith, PTA
• S. Scott Smith I, OD
• Roland Dale Snider, MA
• Viktoria Viktorovna Sokolova, OD
• Nancy Solis Avelar
• Diane Somerville
• Soothing Rivers LLC

• Addiction (Substance Use Disorder) Counselor in Walla Walla, WA
• Providers in Walla Walla, 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 Sep 11, 2025; 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.