Lisa Kristine Criswell, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY60628904 Issued in WA

Practice address

22717 SE 29TH St Ste D101
Sammamish, WA 98075-9673

Phone

(425) 269-3277

NPI assigned

Aug 7, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Lisa Kristine Tankersley Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Centered Mind Counseling Services, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sammamish, WA
  • NPI 1124614680
  NPD (past)

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

{
    "created_epoch": "1407369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771891200000",
    "number": "1669881348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22717 SE 29TH ST STE D101",
            "city": "SAMMAMISH",
            "state": "WA",
            "postal_code": "980759673",
            "telephone_number": "425-269-3277",
            "fax_number": "785-452-4932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22717 SE 29TH ST STE D101",
            "city": "SAMMAMISH",
            "state": "WA",
            "postal_code": "980759673",
            "telephone_number": "425-269-3277"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75 NW Dogwood Street",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Issaquah",
            "state": "WA",
            "postal_code": "98027",
            "country_code": "US",
            "telephone_number": "425-269-3277",
            "fax_number": "785-452-4932",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRISWELL",
        "first_name": "LISA",
        "middle_name": "KRISTINE",
        "name_prefix": "Ms.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-07",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "KS",
            "license": "2538",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WA",
            "license": "PY60628904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "TANKERSLEY",
            "middle_name": "KRISTINE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ricardo Coronado Hernandez, LMHCA
• Amanda A Courtney, ARNP
• Amanda D Cox, ARNP
• Nyeri A Crater, CB
• Jenean Rene Creason, BCBA, LBA, MIT
• Sharon Crook, ARNP
• Evan R Culbert, DPT
• Cheryl D'Ettorre
• Joyce E Dahners
• Rebecca Dallain, LMT

• Psychologist in Sammamish, WA
• Providers in Sammamish, WA by specialty
• Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2026; 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.