Individual provider Active NPI

Paul Randall Lewis, PAUL LEWIS

  • Marriage & Family Therapist
  • Lopez Island, WA
National Provider Identifier
1952500712
Registry record updated Oct 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LF60233335 Issued in WA
Practice address
46 Eads LN
Lopez Island, WA 98261-7717
Phone
(360) 472-0028
NPI assigned
Jul 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LF60233335 WA Primary

Addresses

Primary practice location

46 Eads LN
Lopez Island, WA 98261-7717

Mailing address

PO Box 534
Lopez Island, WA 98261-0534
Phone (360) 472-0028

Other identifiers 1

IdentifierTypeStateIssuer
LF60233335OtherWA106H00000X

Other names 1

  • Mr. Paul Lewis Professional name

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
I20251201000365 WA Practitioner - Marriage and Family Therapist 3072006907 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mindful Therapy Group PCGroup PAC ID 4981872561, 654 clinicians

Practice addresses (Care Compare)

6505 216TH St SW
Suite 100
Mountlake Terrace, WA 98043-2089
Phone (425) 640-7009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LF60233335WAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Therapy Group PC Marriage & Family Therapist CurrentSince Oct 14, 2025 Accepting new patients

Locations

6505 216th St SW
Ste 100
Mountlake Terrace, WA 98043
Phone (425) 678-6463

21907 64th Ave W
Ste 200
Mountlake Terrace, WA 98043
Phone (410) 258-3698

320 NE 97th St
Ste A
Seattle, WA 98115
Phone (206) 323-8113

201 W North River Dr
Ste 301
Spokane, WA 99201
Phone (509) 496-0724

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761868800000",
    "number": "1952500712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 534",
            "city": "LOPEZ ISLAND",
            "state": "WA",
            "postal_code": "982610534",
            "telephone_number": "360-472-0028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 EADS LN",
            "city": "LOPEZ ISLAND",
            "state": "WA",
            "postal_code": "982617717",
            "telephone_number": "360-472-0028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "PAUL",
        "middle_name": "RANDALL",
        "name_prefix": "Mr.",
        "credential": "PAUL LEWIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-12",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF60233335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "106H00000X",
            "identifier": "LF60233335",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAUL",
            "last_name": "LEWIS",
            "prefix": "MR.",
            "credential": "PAUL LEWIS LMFT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lopez Island, WA

Sources for this page

Verify at the official NPI Registry.