Individual provider Active NPI

Lisa Wilkinson, MA, LMHC

  • Mental Health Counselor
  • Seattle, WA
National Provider Identifier
1811038409
Registry record updated Jan 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH00010691 Issued in WA
Practice address
2743 California Ave SW
Suite 301
Seattle, WA 98116-6454
Phone
(206) 679-4878
Fax
(206) 971-5072
NPI assigned
Feb 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2020

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 LH00010691 WA Primary

Addresses

Primary practice location

2743 California Ave SW
Suite 301
Seattle, WA 98116-6454

Mailing address

4742 42ND Ave SW # 184
Seattle, WA 98116-4553
Phone (206) 679-4878

Other identifiers 1

IdentifierTypeStateIssuer
LH00010691OtherWAMENTAL HEALTH COUNSELOR LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 16, 2024 through Feb 16, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LH00010691WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Family Life Past Accepting new patients

Organizations & group practices 1

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": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579910400000",
    "number": "1811038409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4742 42ND AVE SW # 184",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981164553",
            "telephone_number": "206-679-4878",
            "fax_number": "206-363-9639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2743 CALIFORNIA AVE SW",
            "address_2": "SUITE 301",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981166454",
            "telephone_number": "206-679-4878",
            "fax_number": "206-971-5072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKINSON",
        "first_name": "LISA",
        "credential": "MA, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2020-01-25",
        "certification_date": "2020-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00010691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MENTAL HEALTH COUNSELOR LICENSE",
            "identifier": "LH00010691",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.