Colleen Virginia Lee, LMHC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

60327290 Issued in WA

Practice address

517 Front Street, Suite D
Lynden, WA 98264

Phone

(360) 214-2062

Fax

(406) 837-3363

NPI assigned

Jul 18, 2006

Last updated

Jul 1, 2015By 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

Other names 1

• Colleen Virginia Wigdahl Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435708800000",
    "number": "1568481133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8257 NOOKSACK ROAD",
            "city": "EVERSON",
            "state": "WA",
            "postal_code": "98247",
            "telephone_number": "406-885-6397",
            "fax_number": "406-837-3363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 FRONT STREET, SUITE D",
            "city": "LYNDEN",
            "state": "WA",
            "postal_code": "98264",
            "telephone_number": "360-214-2062",
            "fax_number": "406-837-3363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "COLLEEN",
        "middle_name": "VIRGINIA",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2015-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WA",
            "license": "60327290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0256997",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COLLEEN",
            "last_name": "WIGDAHL",
            "middle_name": "VIRGINIA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Marilyn R. Korver, PT
• Amber Michelle Kreiger, L.AC.
• Carol Kucel, PA-C
• Melodie Langstraat, PTA
• Shannon A Lanskis, DPT
• Junghee Lee, DC
• Jessica Lynn Libolt, L.M.P.
• Lori Faye Libolt, OTR,L/CHT
• Chen Wei Lin, PHARMD
• Patti Locke, PTA

• Professional Counselor in Lynden, WA
• Providers in Lynden, WA by specialty
• Professional Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2015; 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.