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LISA TOMIKO SHIMOMAEDA
NPI 1548654262
Counselor in Seattle, WA

Active since March 19, 2015Opted out of Medicare · through Jun 9, 2028
1200 5TH AVE STE 800, SEATTLE, WA 98101(206) 374-0109(206) 374-0108 Get Directions Write a Review

NPPES record last updated: August 26, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Lisa Tomiko Shimomaeda NPPES

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

LISA TOMIKO SHIMOMAEDA (NPI 1548654262) is an individual counselor in Seattle, Washington and active in the NPI registry since March 2015. She has opted out of Medicare through June 9, 2028.

NPPES Registry Identity

NPI1548654262
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameLISA TOMIKO SHIMOMAEDA
Location Address1200 5TH AVE STE 800Seattle, WA 98101-3136
Mailing Address1200 5th Ave Ste 800Seattle, WA 98101-3136 · (206) 374-0109 · Fax (206) 374-0108
Phone(206) 374-0109
Fax(206) 374-0108
Sole ProprietorNo
Enumeration DateMarch 19, 2015
Last NPPES UpdateAugust 26, 2025
NPPES CertifiedAugust 26, 2025
✔ NPI 1548654262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
1200 5TH AVE STE 800, Seattle, WA 98101
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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 Tomiko Shimomaeda 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 June 9, 2026 through June 9, 2028.

Opt-Out Effective DateJune 9, 2026
Opt-Out In Effect ThroughJune 9, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

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

DR. ASHLEIGH MARIE HARVEY PHD
Student in an Organized Health Care Education/Training Program
1200 5TH AVE STE 800
SEATTLE, WA 98101
King County (206) 374-0109
SALLONI NANDA
Student in an Organized Health Care Education/Training Program
1200 5TH AVE STE 800
SEATTLE, WA 98101
King County (206) 374-0109
GHINA HAIDAR PHD
Student in an Organized Health Care Education/Training Program
1200 5TH AVE STE 800
SEATTLE, WA 98101
King County (206) 374-0109
IOP AT DBTCS PLLC
Psychologist
1200 5TH AVE STE 800
SEATTLE, WA 98101
King County (206) 374-0109
KATHERINE HURLEY MANGEN PHD
Psychologist (Clinical)
1200 5TH AVE STE 800
SEATTLE, WA 98101
King County (206) 374-0109
ERIKA RUBERRY
Psychologist (Clinical Child & Adolescent)
1200 5TH AVE STE 800
SEATTLE, WA 98101
King County (206) 374-0109
EMILY BOND
Student in an Organized Health Care Education/Training Program
1200 5TH AVE STE 800
SEATTLE, WA 98101
King County (206) 374-0109
COURTNEY CHRISTIAN SIMPSON M.S.
Psychologist
1200 5TH AVE STE 800
SEATTLE, WA 98101
King County (509) 939-4422

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 Shimomaeda's NPI number?

The NPI number for Lisa Shimomaeda is 1548654262. It was assigned to this individual provider in the NPPES registry on March 19, 2015.

Where is Lisa Shimomaeda located?

Lisa Shimomaeda practices at 1200 5th Ave Ste 800, Seattle, WA 98101. The listed phone number is (206) 374-0109.

What is Lisa Shimomaeda's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Lisa Shimomaeda enrolled in Medicare?

No. Lisa Shimomaeda has opted out of Medicare through June 9, 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 Shimomaeda was last updated on August 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.