Individual provider Active NPI

Lisa M Hake, LMHC

  • Mental Health Counselor
  • Seattle, WA
National Provider Identifier
1376695254
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH00009749 Issued in WA
Practice address
1126 34TH Ave
Suite 206
Seattle, WA 98122-5136
Phone
(206) 450-9250
NPI assigned
Jan 18, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LH00009749 WA
Mental Health Counselor 101YM0800X LH00009749 WA Primary

Addresses

Primary practice location

1126 34TH Ave
Suite 206
Seattle, WA 98122-5136

Mailing address

1126 34TH Ave
Suite 206
Seattle, WA 98122-5136
Phone (206) 204-9794

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240202001320 WA Practitioner - Mental Health Counselor 6204289572 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1126 34TH Ave
Suite 206
Seattle, WA 98122-5137
Phone (206) 204-9794

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LH00009749WAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lisa Hake Counseling and Consultation, PLLC CurrentSince Dec 6, 2023 Accepting new patients

Locations

1126 34th Ave
Ste 206
Seattle, WA 98122
Phone (206) 204-9794

Organizations & group practices 1

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": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1376695254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1126 34TH AVE",
            "address_2": "SUITE 206",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981225136",
            "telephone_number": "206-204-9794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1126 34TH AVE",
            "address_2": "SUITE 206",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981225136",
            "telephone_number": "206-450-9250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAKE",
        "first_name": "LISA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "LH00009749",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00009749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.