Lisa Madelle Bottomley, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH00011150 Issued in WA

Practice address

219C West Patison
Port Hadlock, WA 98339

Phone

(360) 774-0790

NPI assigned

Apr 22, 2008

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208822400000",
    "number": "1942474887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 127",
            "city": "CHIMACUM",
            "state": "WA",
            "postal_code": "983250127",
            "telephone_number": "360-774-0790",
            "fax_number": "360-379-8821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219C WEST PATISON",
            "city": "PORT HADLOCK",
            "state": "WA",
            "postal_code": "98339",
            "telephone_number": "360-774-0790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTTOMLEY",
        "first_name": "LISA",
        "middle_name": "MADELLE",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-22",
        "last_updated": "2008-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00011150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neil David Aho
• Conner Wesley Ames, DMD
• John David Barrett, DDS
• Jeanne Battenburg, N.P.
• Bayside Housing & Services
• Catherine Bradley
• Mary Ellen Breckel, DPT
• Cathy Brinton, ND
• Mary Angelee Limocon Brown, RDN
• Renee Collier, LMP

• Mental Health Counselor in Port Hadlock, WA
• Providers in Port Hadlock, 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 Apr 22, 2008; 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.