Kokmaduwe Palitha Liyanage, B.A.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

471388664 Issued in WA

Practice address

6201 Pacific Ave Ste C3
Tacoma, WA 98408-7423

Phone

(253) 363-8853

Fax

(253) 292-1919

NPI assigned

Mar 24, 2023

Last updated

Mar 24, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Life Transitions L.L.C.

  dba Life Transitions

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tacoma, WA
  • NPI 1609374040
  NPD

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

{
    "created_epoch": "1679616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679616000000",
    "number": "1871296103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "941 DAVIS PL S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981442939",
            "telephone_number": "206-981-6265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 PACIFIC AVE STE C3",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984087423",
            "telephone_number": "253-363-8853",
            "fax_number": "253-292-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIYANAGE",
        "first_name": "KOKMADUWE",
        "middle_name": "PALITHA",
        "name_prefix": "Mr.",
        "credential": "B.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-24",
        "last_updated": "2023-03-24",
        "certification_date": "2022-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "471388664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Bruce Livingston, CRNA
• Robert R Livingston, M.D.
• Deanna Sue Livingstone, M.D.
• Jessica Katherine Livolsi, SWEDISH CERTIFICATE
• Courtney Anne Livoti, OTR/L
• Liz's Adult Counseling LLC
• Joaquin Aldair Lizaola, PA-C
• Lizotte P & O Associates LLC (Washington Orthotics & Prosthetics)
• Thomas W Lizotte Jr., CPO
• Darla Llamas, LP00057026

• Mental Health Counselor in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2023; 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.