Individual provider Active NPI

Lenita A Marquez, MA LMHC MHP

  • Counselor
  • Lacey, WA
National Provider Identifier
1851820575
Registry record updated Mar 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
61015543 Issued in WA
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

Updated by the provider on Mar 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
60733448WAMDCounselor
61015543WAMDCounselor
60649297WAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Infinite Well, LLC CurrentSince Dec 12, 2021 Accepting new patients
Olympic Health and Recovery Services PastSince Jun 14, 2020 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.

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.

Verify at the official NPI Registry.