Individual provider Active NPI

Lisa Arlene Farvour, LMHC, CDP

  • Mental Health Counselor
  • Chehalis, WA
National Provider Identifier
1649835943
Registry record updated May 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH60252270 Issued in WA
Practice address
57 W Main St Ste 260
Chehalis, WA 98532-4815
Phone
(360) 751-4195
NPI assigned
May 2, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH60252270 WA Primary

Addresses

Primary practice location

57 W Main St Ste 260
Chehalis, WA 98532-4815

Mailing address

1993 Headquarters Rd
Castle Rock, WA 98611-9350
Phone (360) 751-4195

Other identifiers 2

IdentifierTypeStateIssuer
CP60730101OtherWADEPARTMENT OF HEALTH
LH60252270OtherWADEPARTMENT OF HEALTH

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

State licenses

LicenseStateTypeSpecialty
LH60252270WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Great Rivers Behavioral Health Organization Past Accepting new patients
Educational Service District 112 Past Accepting new patients

Organizations & group practices 2

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": "1556755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556755200000",
    "number": "1649835943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1993 HEADQUARTERS RD",
            "city": "CASTLE ROCK",
            "state": "WA",
            "postal_code": "986119350",
            "telephone_number": "360-751-4195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 W MAIN ST STE 260",
            "city": "CHEHALIS",
            "state": "WA",
            "postal_code": "985324815",
            "telephone_number": "360-751-4195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARVOUR",
        "first_name": "LISA",
        "middle_name": "ARLENE",
        "credential": "LMHC, CDP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-02",
        "last_updated": "2019-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60252270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF HEALTH",
            "identifier": "CP60730101",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF HEALTH",
            "identifier": "LH60252270",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chehalis, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2019; 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.