LISA KENNEDY NPI 1124422332

NPI Information

  • NPI: 1124422332
  • Provider Name: LISA KENNEDY
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3525 COLBY AVE STE 200
    EVERETT, WA
    ZIP 98201
  • Phone: (425) 259-1366

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NPI Details

Lisa Kennedy is a mental health counselor in Everett, WA with 6 years of experience. Lisa Kennedy NPI is 1124422332. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3525 COLBY AVE STE 200
EVERETT, WA
ZIP 98201-782
Phone: (425) 259-1366

The NPI 1124422332 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 10/17/2014 and was last updated on 3/17/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1390200000XStudent in an Organized Health Care Education/Training ProgramNo
2101YM0800XCounselorMental HealthLH60801702WASHINGTONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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