LISA KENNEDY
NPI 1124422332
Counselor - Mental Health in Everett, WA
About Lisa Kennedy NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LISA KENNEDY (NPI 1124422332) is an individual mental health provider in Everett, Washington, licensed in Washington (MHC.LH.60801702) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Seattle, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Lisa Kennedy 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.
Medicare Billing Reassignment
Medicare enrollment records show Lisa Kennedy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Everett, WA 98201
- Reassigned Medicare billing, Washington enrollment
- 90 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Lisa Kennedy's NPI number?
The NPI number for Lisa Kennedy is 1124422332. It was assigned to this individual provider in the NPPES registry on October 17, 2014.
Where is Lisa Kennedy located?
Lisa Kennedy practices at 3525 Colby Ave Ste 200, Everett, WA 98201. The listed phone number is (425) 259-1366.
What is Lisa Kennedy's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Lisa Kennedy enrolled in Medicare?
Yes. Lisa Kennedy 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.
Which organization bills Medicare for Lisa Kennedy's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Kennedy reassigns Medicare benefits to Western Washington Medical Group, Inc Ps (Everett, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lisa Kennedy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Lisa Kennedy accept?
Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Lisa Kennedy 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 Lisa Kennedy was last updated on September 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 50 days 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.
# Lisa Kennedy · NPI 1124422332
Mental Health provider in Everett, Washington. Individual provider, active in the CMS NPPES registry since October 17, 2014.
## Identity
- **NPI:** 1124422332 (Entity type: Individual)
- **Enumerated:** October 17, 2014
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** MHC.LH.60801702 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 3525 COLBY AVE STE 200, Everett, WA 98201-4782
- **Phone:** (425) 259-1366
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Western Washington Medical Group, Inc Ps (NPI 1326266727, Everett, WA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** September 8, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1124422332) · Data from the CMS NPPES public registry.