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VLADIMIR P LISENKO LMHC.NCC
NPI 1104013390
Counselor - Mental Health in Manson, WA

Active since October 01, 2007PECOS EnrolledAccepts Medicare Assignment
750 LAKESHORE DR, MANSON, WA 98831(206) 714-9710 Get Directions Write a Review

NPPES record last updated: January 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Vladimir P Lisenko Lmhc.ncc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VLADIMIR P LISENKO LMHC.NCC (NPI 1104013390) is an individual mental health provider in Manson, Washington, licensed in Washington (LH00010867) and active in the NPI registry since October 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1976).

NPPES Registry Identity

NPI1104013390
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameVLADIMIR P LISENKOCredential: LMHC.NCC
Location Address750 LAKESHORE DRManson, WA 98831-9618
Mailing Address750 Lakeshore DrManson, WA 98831-9618 · (206) 714-9710
Phone(206) 714-9710
Sole ProprietorYes
Medical School CMSOtherGraduated 1976
Enumeration DateOctober 1, 2007
Last NPPES UpdateJanuary 19, 2024
NPPES CertifiedJanuary 19, 2024
✔ NPI 1104013390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in WA · LH00010867
750 LAKESHORE DR, Manson, WA 98831
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Vladimir P Lisenko Lmhc.ncc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4082057088
PECOS Enrollment IDI20240207000178
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vladimir Lisenko's NPI number?

The NPI number for Vladimir Lisenko is 1104013390. It was assigned to this individual provider in the NPPES registry on October 1, 2007.

Where is Vladimir Lisenko located?

Vladimir Lisenko practices at 750 Lakeshore Dr, Manson, WA 98831. The listed phone number is (206) 714-9710.

What is Vladimir Lisenko's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Vladimir Lisenko enrolled in Medicare?

Yes. Vladimir Lisenko is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Vladimir Lisenko accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Vladimir Lisenko as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Vladimir Lisenko was last updated on January 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.