MRS. LISA TATUM LOPEZ MA, LMHC, CMHS
NPI 1205021896
Counselor - Mental Health in Mill Creek, WA

Q: What is Lisa Lopez's NPI number?

The NPI number for Lisa Lopez is 1205021896. It was assigned to this individual provider in the NPPES registry on September 7, 2007.

Q: What is Lisa Lopez's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lisa Lopez was last updated on September 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since September 07, 2007PECOS Enrolled

15408 MAIN ST UNIT 107, MILL CREEK, WA 98012(425) 772-7234(425) 377-0785 Get Directions Write a Review

NPPES record last updated: September 19, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mrs. Lisa Tatum Lopez Ma, Lmhc, Cmhs NPPES

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

MRS. LISA TATUM LOPEZ MA, LMHC, CMHS (NPI 1205021896) is an individual mental health provider in Mill Creek, Washington, licensed in Washington (LH60237309) and active in the NPI registry since September 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205021896

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMRS. LISA TATUM LOPEZCredential: MA, LMHC, CMHS

Location Address15408 MAIN ST UNIT 107Mill Creek, WA 98012-9025

Mailing Address15408 Main St Unit 107Mill Creek, WA 98012-9025 · (425) 772-7234 · Fax (425) 377-0785

Phone(425) 772-7234

Fax(425) 377-0785

Sole ProprietorYes

Enumeration DateSeptember 7, 2007

Last NPPES UpdateSeptember 19, 2011

✔ NPI 1205021896 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 · LH60237309

15408 MAIN ST UNIT 107, Mill Creek, WA 98012

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Lisa Tatum Lopez Ma, Lmhc, Cmhs is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Lisa Lopez's NPI number?

The NPI number for Lisa Lopez is 1205021896. It was assigned to this individual provider in the NPPES registry on September 7, 2007.

Where is Lisa Lopez located?

Lisa Lopez practices at 15408 Main St Unit 107, Mill Creek, WA 98012. The listed phone number is (425) 772-7234.

What is Lisa Lopez's specialty?

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

Is Lisa Lopez enrolled in Medicare?

Yes. Lisa Lopez is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lisa Lopez was last updated on September 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.