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MRS. LISA MAE PETERS CP60535132
NPI 1194194233
Counselor - Addiction (Substance Use Disorder) in Olympia, WA

Active since September 18, 2015
1905 4TH AVE E STE B, OLYMPIA, WA 98506(360) 338-0600(360) 338-0601 Get Directions Write a Review

NPPES record last updated: October 26, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 26, 2022, Nov 17, 2020, Aug 30, 2019 (3 updates tracked since 2019).

About Mrs. Lisa Mae Peters Cp60535132 NPPES

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

MRS. LISA MAE PETERS CP60535132 (NPI 1194194233) is an individual addiction (substance use disorder) provider in Olympia, Washington, licensed in Washington (CP60535132) and active in the NPI registry since September 2015. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1194194233
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMRS. LISA MAE PETERSCredential: CP60535132
Location Address1905 4TH AVE E STE BOlympia, WA 98506-4631
Mailing Address3510 Steelhammer DrCentralia, WA 98531-4551 · (360) 623-8020
Phone(360) 338-0600
Fax(360) 338-0601
Sole ProprietorNo
Enumeration DateSeptember 18, 2015
Last NPPES UpdateOctober 26, 20223 updates tracked since enumeration
NPPES CertifiedMarch 2, 2021
✔ NPI 1194194233 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in WA · CP60535132
1905 4TH AVE E STE B, Olympia, WA 98506
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11721 Laurel StShelton, WA 98584-2151 · Phone (360) 490-2181
Location 2235 S 3rd StShelton, WA 98584-2255 · Phone (360) 426-0890 · Fax (360) 426-4688

Other Identifiers 1

Medicaid2107411WA

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LISA LORRAINE GAUL SUDPT
Counselor (Addiction (Substance Use Disorder))
1905 4TH AVE E STE B
OLYMPIA, WA 98506
Thurston County (360) 338-0600

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 Peters's NPI number?

The NPI number for Lisa Peters is 1194194233. It was assigned to this individual provider in the NPPES registry on September 18, 2015.

Where is Lisa Peters located?

Lisa Peters practices at 1905 4th Ave E Ste B, Olympia, WA 98506. The listed phone number is (360) 338-0600.

What is Lisa Peters's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Lisa Peters was last updated on October 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.