Charleen J Lewis, CCPC

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

CG61238184 Issued in WA

Practice address

16000 Christensen Rd Ste 200
Tukwila, WA 98188-2925

Phone

(702) 589-4872

Fax

(702) 589-4871

NPI assigned

Sep 3, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other names 1

• CJ Lewis Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Seneca Family of Agencies

  • Community/Behavioral Health Agency
  • Tacoma, WA
  • NPI 1154072734
  NPD
• Harbor Youth and Family Counseling

  • Mental Health Counselor
  • Tukwila, WA
  • NPI 1205466265
  NPD (past)

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

{
    "created_epoch": "1630627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1851069751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16000 CHRISTENSEN RD STE 200",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981882925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16000 CHRISTENSEN RD STE 200",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981882925",
            "telephone_number": "702-589-4872",
            "fax_number": "702-589-4871"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "724 Yakima Ave",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984054864",
            "country_code": "US",
            "telephone_number": "206-948-0096",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9330 59th Ave SW",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "WA",
            "postal_code": "984992858",
            "country_code": "US",
            "telephone_number": "253-620-5015",
            "fax_number": "253-620-5831",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "CHARLEEN",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "CCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-03",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "WA",
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "WA",
            "license": "CG61238184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CJ",
            "last_name": "LEWIS",
            "credential": "CCPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kaya Lennon
• Christin M. Lepus, M.D., PH.D.
• Rikki Lawrence Lerbakken
• Mark F Leveaux, M.D.
• Brandon Leviton
• Marshall Lewis
• Natasha Lewis
• Amy T. Li, RN
• Willie Liau
• Fernando Libor, REGISTERED NURSE

• Peer Specialist in Tukwila, WA
• Providers in Tukwila, WA by specialty
• Peer Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; 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.