LILY GORDON LMHC
NPI 1629856919
Counselor - Mental Health in Seattle, WA

Active since September 18, 2023Opted out of Medicare · through Jan 20, 2027
5608 17TH AVE NW, STE 1932, SEATTLE, WA 98107(206) 395-5530 Get Directions Write a Review

NPPES record last updated: August 31, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lily Gordon Lmhc NPPES

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

LILY GORDON LMHC (NPI 1629856919) is an individual mental health provider in Seattle, Washington, licensed in Washington (LH61635557) and active in the NPI registry since September 2023. She has opted out of Medicare through January 20, 2027.

NPPES Registry Identity

NPI1629856919
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameLILY GORDONCredential: LMHC
Location Address5608 17TH AVE NW, STE 1932Seattle, WA 98107-5232
Mailing Address5608 17th Ave Nw, Ste 1932Seattle, WA 98107-5232 · (206) 395-5530
Sole ProprietorNo
Enumeration DateSeptember 18, 2023
Last NPPES UpdateAugust 31, 2025
NPPES CertifiedAugust 5, 2025
NPI 1629856919 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 · LH61635557
5608 17TH AVE NW, Seattle, WA 98107

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Lily Gordon 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 20, 2025 through January 20, 2027.

Opt-Out Effective DateJanuary 20, 2025
Opt-Out In Effect ThroughJanuary 20, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 8

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

Counselor (Mental Health)
5608 17TH AVE NW
SEATTLE, WA 98107
Student in an Organized Health Care Education/Training Program
5608 17TH AVE NW
SEATTLE, WA 98107
Counselor (Mental Health)
5608 17TH AVE NW
SEATTLE, WA 98107
Rehabilitation Counselor
5608 17TH AVE NW
SEATTLE, WA 98107
Naturopath
5608 17TH AVE NW
SEATTLE, WA 98107
Counselor (Mental Health)
5608 17TH AVE NW
SEATTLE, WA 98107
Social Worker (Clinical)
5608 17TH AVE NW
SEATTLE, WA 98107
Nurse Practitioner (Psychiatric/Mental Health)
5608 17TH AVE NW
SEATTLE, WA 98107

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 Lily Gordon's NPI number?

The NPI number for Lily Gordon is 1629856919. It was assigned to this individual provider in the NPPES registry on September 18, 2023.

Where is Lily Gordon located?

Lily Gordon practices at 5608 17th Ave NW Ste 1932, Seattle, WA 98107. The listed phone number is (206) 395-5530.

What is Lily Gordon's specialty?

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

Is Lily Gordon enrolled in Medicare?

No. Lily Gordon has opted out of Medicare through January 20, 2027. 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 Lily Gordon was last updated on August 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.