Active NPI
Lisa Wilkinson, MA, LMHC
- Mental Health Counselor
- Seattle, WA
National Provider Identifier
1811038409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH00010691
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LH00010691 | Other | WA | MENTAL 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
| License | State | Type | Specialty |
|---|---|---|---|
| LH00010691 | WA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Community/Behavioral Health Agency
- Seattle, WA
- NPI 1922147156
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2020; 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.