Active NPI
Mary Lou Gage, MA, LMHC, CDPT
- Mental Health Counselor
- Everett, WA
National Provider Identifier
1962925123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH00008392
- Practice address
- 811 Madison St
Everett, WA 98203-4543 - Phone
- (425) 212-4200
- Fax
- (425) 212-4201
- NPI assigned
- Jul 19, 2017
- Last updated
- Aug 19, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LH00008392 | WA | Primary |
Addresses
Primary practice location
811 Madison St
Everett, WA 98203-4543
Mailing address
PO Box 2569
Everett, WA 98213-0569
Phone (425) 212-4200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023515400 | Medicaid | WA |
Other names 1
- Mary Lou Barrett
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CO60910944 | WA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lightheart Associates PS | Professional | Current | Accepting new patients |
| Evergreen Recovery Centers | Past | Accepting new patients | |
| Dr. Kathleen Worsley | Past | Accepting new patients |
Locations
7902 168th Ave NE
Ste 101
Redmond, WA 98052
Phone (425) 472-2681
Organizations & group practices 3
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.
-
- Counseling Psychologist
- Redmond, WA
- NPI 1619484821
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Everett, WA
- NPI 1124159157
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787097600000",
"number": "1962925123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2569",
"city": "EVERETT",
"state": "WA",
"postal_code": "982130569",
"telephone_number": "425-212-4200",
"fax_number": "425-212-4201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "811 MADISON ST",
"city": "EVERETT",
"state": "WA",
"postal_code": "982034543",
"telephone_number": "425-212-4200",
"fax_number": "425-212-4201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAGE",
"first_name": "MARY",
"middle_name": "LOU",
"credential": "MA, LMHC, CDPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-19",
"last_updated": "2026-08-19",
"certification_date": "2026-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH00008392",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1023515400",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARY",
"last_name": "BARRETT",
"middle_name": "LOU",
"credential": "MA, LMHC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.