Active NPI
Lisa B Ehrlichman, NP
- Psychiatric/Mental Health Nurse Practitioner
- Centralia, WA
National Provider Identifier
1861758591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- AP60503335
- Practice address
- 2428 W Reynolds Ave
Cascade Mental Health
Centralia, WA 98531-4554 - Phone
- (360) 330-9044
- NPI assigned
- Apr 6, 2012
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP4426 | AZ | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP60503335 | WA | Primary |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 201350072NP | OR | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 20769 | CA |
Addresses
Primary practice location
2428 W Reynolds Ave
Cascade Mental Health
Centralia, WA 98531-4554
Mailing address
29030 SW Town Center Loop E.
202-244
Wilsonville, OR 97070
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20769 | CA | MD | Occupational Therapist |
| AP4426 | AZ | MD | Psychiatric/Mental Health Nurse Practitioner |
| 201350072NP | OR | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467676800000",
"number": "1861758591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29030 SW TOWN CENTER LOOP E.",
"address_2": "202-244",
"city": "WILSONVILLE",
"state": "OR",
"postal_code": "97070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2428 W REYNOLDS AVE",
"address_2": "CASCADE MENTAL HEALTH",
"city": "CENTRALIA",
"state": "WA",
"postal_code": "985314554",
"telephone_number": "360-330-9044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EHRLICHMAN",
"first_name": "LISA",
"middle_name": "B",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-06",
"last_updated": "2016-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "AZ",
"license": "AP4426",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "WA",
"license": "AP60503335",
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "OR",
"license": "201350072NP",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CA",
"license": "20769",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Centralia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.