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LISA FANN LMHC
NPI 1407265929
Counselor - Mental Health in Seattle, WA

Active since August 08, 2014Opted out of Medicare · through Jan 1, 2028
109 N 101ST ST, SEATTLE, WA 98133(206) 784-5005 Get Directions Write a Review

NPPES record last updated: August 8, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lisa Fann Lmhc NPPES

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

LISA FANN LMHC (NPI 1407265929) is an individual mental health provider in Seattle, Washington, licensed in Washington (LH 60092174) and active in the NPI registry since August 2014. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1407265929
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameLISA FANNCredential: LMHC
Location Address109 N 101ST STSeattle, WA 98133-9109
Mailing Address444 Ne Ravenna Blvd Ste 301Seattle, WA 98115-6467 · (206) 784-5005
Phone(206) 784-5005
Sole ProprietorNo
Enumeration DateAugust 8, 2014
✔ NPI 1407265929 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 · LH 60092174
109 N 101ST ST, Seattle, WA 98133
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Lisa Fann Lmhc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 Fann's NPI number?

The NPI number for Lisa Fann is 1407265929. It was assigned to this individual provider in the NPPES registry on August 8, 2014.

Where is Lisa Fann located?

Lisa Fann practices at 109 N 101st St, Seattle, WA 98133. The listed phone number is (206) 784-5005.

What is Lisa Fann's specialty?

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

Is Lisa Fann enrolled in Medicare?

No. Lisa Fann has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Lisa Fann was last updated on August 8, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.