Active NPI
Stacy M Lewis, LMHC
- Mental Health Counselor
- Seattle, WA
National Provider Identifier
1780299933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH61263290
- Practice address
- 1817 Queen Anne Ave N Ste 211
Seattle, WA 98109-2876 - Phone
- (206) 929-2363
- NPI assigned
- Sep 14, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MC60850485 | WA | |
| Mental Health Counselor | 101YM0800X | LH61263290 | WA | Primary |
Addresses
Primary practice location
1817 Queen Anne Ave N Ste 211
Seattle, WA 98109-2876
Mailing address
1817 Queen Anne Ave N Ste 211
Seattle, WA 98109-2876
Phone (206) 929-2363
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 9, 2025 through Jan 9, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LH61263290 | WA | MD | Mental Health Counselor |
| MC60850485 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658880000000",
"number": "1780299933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1817 QUEEN ANNE AVE N STE 211",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981092876",
"telephone_number": "206-929-2363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1817 QUEEN ANNE AVE N STE 211",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981092876",
"telephone_number": "206-929-2363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "STACY",
"middle_name": "M",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-14",
"last_updated": "2022-07-27",
"certification_date": "2022-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "MC60850485",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH61263290",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.