Active NPI
Lenita A Marquez, MA LMHC MHP
- Counselor
- Lacey, WA
National Provider Identifier
1851820575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 61015543
- Practice address
- 581 Malibu Dr SE
Lacey, WA 98503-1376 - Phone
- (360) 522-6156
- NPI assigned
- Jun 6, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 60649297 | WA | |
| Counselor | 101Y00000X | 61015543 | WA | Primary |
| Counselor | 101Y00000X | 60733448 | WA |
Addresses
Primary practice location
581 Malibu Dr SE
Lacey, WA 98503-1376
Mailing address
5815 Lacey Blvd SE # 8055
Lacey, WA 98503-2459
Phone (360) 522-6156
Other practice location 1
110 W K St
Shelton, WA 98584-2944
Phone (360) 426-1696 ext. 14119
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60733448 | WA | MD | Counselor |
| 61015543 | WA | MD | Counselor |
| 60649297 | WA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Infinite Well, LLC | Current | Accepting new patients | |
| Olympic Health and Recovery Services | Past | Accepting new patients | |
| Thurston Mason Behavioral Health Organization | Past | Accepting new patients |
Locations
5815 Lacey Blvd SE
#8055
Lacey, WA 98503
Organizations & group practices 3
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.
-
- Mental Health Counselor
- Lacey, WA
- NPI 1578071486
-
- Community/Behavioral Health Agency
- Lacey, WA
- NPI 1760007504
-
- Community/Behavioral Health Agency
- Lacey, WA
- NPI 1265932198
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647820800000",
"number": "1851820575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5815 LACEY BLVD SE # 8055",
"city": "LACEY",
"state": "WA",
"postal_code": "985032459",
"telephone_number": "360-522-6156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "581 MALIBU DR SE",
"city": "LACEY",
"state": "WA",
"postal_code": "985031376",
"telephone_number": "360-522-6156"
}
],
"practiceLocations": [
{
"address_1": "110 W K St",
"address_purpose": "LOCATION",
"city": "Shelton",
"state": "WA",
"postal_code": "985842944",
"country_code": "US",
"telephone_number": "360-426-1696 x14119",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARQUEZ",
"first_name": "LENITA",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "MA LMHC MHP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-06",
"last_updated": "2022-03-21",
"certification_date": "2021-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WA",
"license": "60649297",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WA",
"license": "61015543",
"primary": true
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WA",
"license": "60733448",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lacey, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.