Individual provider Active NPI

Lynette Marie Lile, MA LMHC

  • Mental Health Counselor
  • Aberdeen, WA
National Provider Identifier
1982750782
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH00006445 Issued in WA
Practice address
420 N Broadway St # 5
Aberdeen, WA 98520-3937
Phone
(360) 532-6227
Fax
(360) 532-1090
NPI assigned
Jan 25, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH00006445 WA Primary

Addresses

Primary practice location

420 N Broadway St # 5
Aberdeen, WA 98520-3937

Mailing address

PO Box 572
Aberdeen, WA 98520-0126
Phone (360) 532-6227

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 21, 2025 through Apr 21, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LH00006445WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Anderson Therapy Group PLLC Mental Health PastSince Feb 9, 2020 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": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982750782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 572",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985200126",
            "telephone_number": "360-532-6227",
            "fax_number": "360-532-1090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 N BROADWAY ST # 5",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985203937",
            "telephone_number": "360-532-6227",
            "fax_number": "360-532-1090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LILE",
        "first_name": "LYNETTE",
        "middle_name": "MARIE",
        "credential": "MA  LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00006445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, WA

Sources for this page

Verify at the official NPI Registry.