Individual provider Active NPI

Serena Lan Robles, LMHC, LPCC

  • Mental Health Counselor
  • Kirkland, WA
National Provider Identifier
1407331028
Registry record updated Feb 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH61125304 Issued in WA
Practice address
4030 Lake Washington Blvd NE Ste 303
Kirkland, WA 98033-7870
Phone
(425) 276-2486
NPI assigned
Sep 28, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 14424 CA
Mental Health Counselor 101YM0800X MC60691334 WA
Mental Health Counselor 101YM0800X 14424 CA
Mental Health Counselor 101YM0800X LH61125304 WA Primary

Addresses

Primary practice location

4030 Lake Washington Blvd NE Ste 303
Kirkland, WA 98033-7870

Mailing address

4030 Lake Washington Blvd NE Ste 303
Kirkland, WA 98033-7870
Phone (425) 276-2486

Other practice location 1

8950 Villa La Jolla Dr Ste C230
La Jolla, CA 92037-1712
Phone (925) 282-1778

Other identifiers 1

IdentifierTypeStateIssuer
1407331028OtherWAEXISTING NPI

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://lifestance.com/location/kirkland-wa-4030-lake-washington-blvd-ne/ Health Information Exchange (HIE)

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
I20260224004142 WA Practitioner - Mental Health Counselor 3173004512 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4800 N Scottsdale Rd
Suite 2500
Scottsdale, AZ 85251-7630

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LH61125304WAMDMental Health Counselor
MC60691334WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Western Psychological and Counseling Services LLC Mental Health CurrentSince Jan 10, 2026 Accepting new patients
Western Psychological and Counseling Services LLC Mental Health Past Accepting new patients
Pacific Coast Psychiatric Associates Inc Past Accepting new patients

Locations

4030 Lake Washington Blvd NE
Ste 303
Kirkland, WA 98033
Phone (425) 276-2486

19120 SE 34th St
Ste 201
Vancouver, WA 98683
Phone (360) 906-1190

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.serenarobles@147765.advancedmd-direct.com

Organizations & group practices 3

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": "1538092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772064000000",
    "number": "1407331028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4030 LAKE WASHINGTON BLVD NE STE 303",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980337870",
            "telephone_number": "425-276-2486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4030 LAKE WASHINGTON BLVD NE STE 303",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980337870",
            "telephone_number": "425-276-2486"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8950 Villa La Jolla Dr Ste C230",
            "address_purpose": "LOCATION",
            "city": "La Jolla",
            "state": "CA",
            "postal_code": "920371712",
            "country_code": "US",
            "telephone_number": "925-282-1778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBLES",
        "first_name": "SERENA",
        "middle_name": "LAN",
        "credential": "LMHC, LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-28",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "14424",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC60691334",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "14424",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH61125304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXISTING NPI",
            "identifier": "1407331028",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://lifestance.com/location/kirkland-wa-4030-lake-washington-blvd-ne/",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Website, not a means to contact",
            "address_1": "4030 Lake Washington Blvd NE Ste 303",
            "city": "Kirkland",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980337870",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

Verify at the official NPI Registry.