LISA KENNEDY
NPI 1124422332
Counselor - Mental Health in Everett, WA

Active since October 17, 2014PECOS EnrolledAccepts Medicare Assignment
3525 COLBY AVE STE 200, EVERETT, WA 98201(425) 259-1366 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2018, Oct 23, 2017 (2 updates tracked since 2017).

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 (LH60801702) 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

NPI1124422332
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameLISA KENNEDY
Location Address3525 COLBY AVE STE 200Everett, WA 98201-4782
Mailing Address3525 Colby Ave Ste 200Everett, WA 98201-4782
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 17, 2014
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
NPI 1124422332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in WA · LH60801702
3525 COLBY AVE STE 200, Everett, WA 98201

Secondary Practice Location 1

Location 11901 Martin Luther King Jr Way SSeattle, WA 98144-4801 · Phone (206) 322-7676

Accepted 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

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.

PECOS PAC ID244767184
PECOS Enrollment IDI20241217001985
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.

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.

Psychologist (Clinical)
3525 COLBY AVE STE 200
EVERETT, WA 98201
Psychologist
3525 COLBY AVE STE 200
EVERETT, WA 98201
Clinical Neuropsychologist
3525 COLBY AVE STE 200
EVERETT, WA 98201

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.

What insurance does Lisa Kennedy accept?

Health plans from PacificSource Health Plans and Premera Blue Cross Blue Shield of Alaska 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 March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.