Individual provider Active NPI

Lisa Suzanne Cowden, PH.D.

  • Clinical Psychologist
  • Burien, WA
National Provider Identifier
1912918988
Registry record updated Feb 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY1748 Issued in WA
Practice address
16122 8TH Ave SW
Ste D2
Burien, WA 98166-2049
Phone
(206) 241-9068
Fax
(206) 241-2651
NPI assigned
Aug 11, 2006
Last updated
Feb 14, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY1748 WA Primary

Addresses

Primary practice location

16122 8TH Ave SW
Ste D2
Burien, WA 98166-2049

Mailing address

16122 8TH Ave SW
Ste D2
Burien, WA 98166-2049
Phone (206) 241-9068

Other identifiers 1

IdentifierTypeStateIssuer
149785MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061102000155 WA Practitioner - Clinical Psychologist 6305843459 Practice locations: Burien, WA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

16122 8TH Ave SW
Suite D2
Burien, WA 98166-2049
Phone (206) 241-9068

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY1748WAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
NW Pain Management and Rehabilitation Associates, Inc Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581638400000",
    "number": "1912918988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16122 8TH AVE SW",
            "address_2": "STE D2",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981662049",
            "telephone_number": "206-241-9068",
            "fax_number": "206-241-2651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16122 8TH AVE SW",
            "address_2": "STE D2",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981662049",
            "telephone_number": "206-241-9068",
            "fax_number": "206-241-2651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COWDEN",
        "first_name": "LISA",
        "middle_name": "SUZANNE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY1748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149785",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burien, WA

Sources for this page

Verify at the official NPI Registry.