| Lisa Kennedy, | |
|
3525 Colby Ave Ste 200, Everett, WA 98201-4782 | |
| (425) 259-1366 | |
| Not Available |
| Full Name | Lisa Kennedy |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 6 Years |
| Location | 3525 Colby Ave Ste 200, Everett, Washington |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124422332 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MHC.LH.60801702 (Washington) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Western Washington Medical Group Inc Ps | 7517870314 | 111 |
| Entity Name | Western Washington Medical Group Inc PS |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396413803 PECOS PAC ID: 7517870314 Enrollment ID: O20031107000469 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Kennedy, 3525 Colby Ave Ste 200, Everett, WA 98201-4782 Ph: (425) 259-1366 | Lisa Kennedy, 3525 Colby Ave Ste 200, Everett, WA 98201-4782 Ph: (425) 259-1366 |
Melissa Anne Toner, MHT3,AAC-R Counselor Medicare: Not Enrolled in Medicare Practice Location: 4526 Federal Ave, Everett, WA 98203 Phone: 425-349-6200 |
Mr. David Merritt Hicks, CO60131166 Counselor Medicare: Not Enrolled in Medicare Practice Location: 2610 Wetmore Ave, Everett, WA 98201 Phone: 425-258-5270 Fax: 425-258-5275 |
Sydney Kathrine Thorne, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2610 Wetmore Ave, Everett, WA 98201 Phone: 425-258-5270 Fax: 425-258-5275 |
Jolie Rae Heck, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3322 Broadway, Everett, WA 98201 Phone: 425-349-7289 |
Janelle Saville, RN Counselor Medicare: Not Enrolled in Medicare Practice Location: 811 Madison St, Everett, WA 98203 Phone: 425-212-4200 Fax: 425-212-4297 |
Cheryl Carp, Counselor Medicare: Accepting Medicare Assignments Practice Location: 3000 Rockefeller Ave # Ms 305, Everett, WA 98201 Phone: 425-388-7214 |
Ashley Dyer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 811 Madison St, Everett, WA 98203 Phone: 425-212-4200 |