MRS. LISA JAY HADE (NPI# 1164670147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164670147 |
| Entity Type | Individual |
| Full Name | MRS. LISA JAY HADE |
| Credential | RC |
| Practice Address |
4807 196th St Sw Ste 100 Lynnwood WA 98036-6409 |
| Mailing Address |
4217 212th St Se Bothell WA 98021-7933 |
| Practice Telephone | 4257744269 |
| Mailing Telephone | 2067926780 |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2008-09-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | RC00034987 | WA | Behavioral Health & Social Service Providers |
| Street Address |
4807 196TH ST SW STE 100 |
| City | LYNNWOOD |
| State | WA |
| Zip Code | 98036-6409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295843050 | Lee John Wilner Jr. | Counselor | 4807 196th St Sw Ste 100, Lynnwood, WA 98036-6409 | 2006-08-29 |
| 1700353612 | Hannah Gunnin | Counselor | 4807 196th St Sw Ste 100, Lynnwood, WA 98036-6409 | 2018-10-29 |
| 1992286504 | Cheryl Ann St Sauver | Registered Nurse | 4807 196th St Sw Ste 100, Lynnwood, WA 98036-6409 | 2018-08-22 |
| 1942716105 | Rosalie H Kroeker | Counselor | 4807 196th St Sw Ste 100, Lynnwood, WA 98036-6409 | 2017-12-22 |
| 1891205886 | Megan Schmierer | Marriage & Family Therapist | 4807 196th St Sw Ste 100, Lynnwood, WA 98036-6409 | 2017-10-04 |
| 1568983997 | Benjamin M Young | Counselor | 4807 196th St Sw Ste 100, Lynnwood, WA 98036 | 2017-07-06 |
| 1790212678 | Kimberly E Wenger | Counselor | 4807 196th St Sw Ste 100, Lynnwood, WA 98036-6409 | 2017-05-22 |
| 1174055123 | Jamie Fredeen | Student in an Organized Health Care Education/Training Program | 4807 196th St Sw Ste 100, Lynnwood, WA 98036-6409 | 2017-03-29 |
| 1497111546 | James Kirk Salyer | Counselor | 4807 196th St Sw Ste 100, Lynnwood, WA 98036-6409 | 2016-01-05 |
| 1457782633 | Laura Jane Larkin | Counselor | 4807 196th St Sw Ste 100, Lynnwood, WA 98036-6409 | 2013-12-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342630 | Zachary Perry | Behavior Technician | 4100 Veterans Way, Unit 100, Lynnwood, WA 98036 | 2020-10-08 |
| 1942832795 | Alexis Michelle Solomon-winne | Behavior Technician | 4100 Veterans Way Unit 100 Lynnwood, Wa 98036 United S, Lynnwood, WA 98036 | 2020-02-10 |
| 1881239028 | Endc Pllc | Psychologist | 19217 36th Ave W. Suite 219, Lynnwood, WA 98036 | 2019-11-12 |
| 1225507866 | Kyung Suk Seo | Massage Therapist | 18904 Hwy 99, Ste. K, Lynnwood, WA 98036 | 2018-11-13 |
| 1790270197 | Kabal Sriviboon | Behavior Technician | 20818 44th Ave W Suite 270, Lynnwood, WA 98036 | 2018-06-27 |
| 1992206148 | Kendal Ilyse Borison | Behavioral Analyst | 4100 194th Se, Suite 100, Lynnwood, WA 98036 | 2018-02-23 |
| 1205352515 | Doug Brant | Registered Nurse | 19931 Cypress Way, Lynnwood, WA 98036 | 2017-08-17 |
| 1588184980 | Evergreen Recovery Centers-lynnwood Detox | Substance Abuse Rehabilitation Facility | 20508 56th Ave W, Lynnwood, WA 98036 | 2017-06-27 |
| 1699213439 | Patrick J. Pacyga | Dentist | 19620 Wa-99, Suite 106, Lynnwood, WA 98036 | 2017-02-01 |
| 1134676646 | Fiona Green | Occupational Therapy Assistant | 21503 8th Place W, A, Lynnwood, WA 98036 | 2016-09-01 |
| Find all providers in zip 98036 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366916017 | Dacia M Morgan | Counselor | 4208 198th St Sw Ste 107, Lynnwood, WA 98036-6736 | 2019-01-16 |
| 1134603822 | Pamela C Brown-seely | Counselor | 15914 44th Ave W, M-208, Lynnwood, WA 98087 | 2018-09-19 |
| 1306336607 | Teri Gilbert | Counselor | 19217 36th Ave W Ste 201, Lynnwood, WA 98036-5751 | 2018-05-14 |
| 1679018113 | Angela Lynn Pearson | Counselor | 5620 183rd St Sw Apt 107, Lynnwood, WA 98037-7319 | 2016-12-19 |
| 1164826616 | Frameworks Ctr LLC | Counselor | 18402 66th Ave W, Lynnwood, WA 98037-4236 | 2014-10-13 |
| 1720497092 | Leslie James | Counselor | 821 199th St Sw, Lynnwood, WA 98036-7196 | 2014-08-12 |
| 1427465798 | Tyson James Conner | Counselor | 19730 64th Ave W Ste 301, Lynnwood, WA 98036-5957 | 2014-07-17 |
| 1346577756 | David Perlman | Counselor | 3924 204th St Sw Ste 111, Lynnwood, WA 98036-9368 | 2009-11-05 |
| 1740470640 | Joan M. Martin | Counselor | 3403 Alderwood Mall Blvd, Lynnwood, WA 98036-4721 | 2007-07-26 |
| 1396841466 | Oncken Counseling Services | Counselor | 4215 198th St Sw, Suite 102, Lynnwood, WA 98036-6738 | 2006-09-16 |
| Find all providers in LYNNWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.