| Lifestance Health | |
|
7507 Ne 51st St Vancouver WA 98662-6007 | |
| (360) 906-1190 | |
| (360) 906-1193 |
| Full Name | Lifestance Health |
|---|---|
| Speciality | Psychologist |
| Location | 7507 Ne 51st St, Vancouver, Washington |
| Authorized Official Name and Position | Ryan Pardo (CHIEF LEGAL OFFICER) |
| Authorized Official Contact | 4252798500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifestance Health 4800 N Scottsdale Rd Ste 2500 Scottsdale AZ 85251-7630 Ph: (602) 858-0720 | Lifestance Health 7507 Ne 51st St Vancouver WA 98662-6007 Ph: (360) 906-1190 |
| NPI Number | 1629345731 |
|---|---|
| Provider Enumeration Date | 11/18/2011 |
| Last Update Date | 03/21/2024 |
| Certification Date | 03/21/2024 |
| Medicare PECOS PAC ID | 7719975085 |
|---|---|
| Medicare Enrollment ID | O20110224000559 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629345731 | NPI | - | NPPES |
| Provider Name | Jeffrey S Skolnick |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114093721 PECOS PAC ID: 8820998586 Enrollment ID: I20040109001089 |
| Provider Name | Marsha L Cain |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245376532 PECOS PAC ID: 8729981477 Enrollment ID: I20040129000830 |
| Provider Name | Audrey J Church |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972683571 PECOS PAC ID: 9638160393 Enrollment ID: I20040520001308 |
| Provider Name | Alison Hadley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336226562 PECOS PAC ID: 4587645619 Enrollment ID: I20040525001748 |
| Provider Name | George F Jackson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932245032 PECOS PAC ID: 4789655630 Enrollment ID: I20040804000223 |
| Provider Name | Annette M Gagnon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497978811 PECOS PAC ID: 6507822244 Enrollment ID: I20041206000048 |
| Provider Name | Sule Karakus |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972632560 PECOS PAC ID: 8628051109 Enrollment ID: I20050228000670 |
| Provider Name | Tara Fairfield |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538194915 PECOS PAC ID: 9830193044 Enrollment ID: I20060830000517 |
| Provider Name | Shannon L Corbin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689613085 PECOS PAC ID: 1658373931 Enrollment ID: I20070215000676 |
| Provider Name | Brett T Copeland |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154592111 PECOS PAC ID: 8628155272 Enrollment ID: I20080407000134 |
| Provider Name | Saskia E Vonmichalofski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467624049 PECOS PAC ID: 7214015064 Enrollment ID: I20080421000244 |
| Provider Name | Edward M Rosanski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841366036 PECOS PAC ID: 6901966290 Enrollment ID: I20081117000273 |
| Provider Name | Trenton J Williams |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124164645 PECOS PAC ID: 0648337642 Enrollment ID: I20090318000459 |
| Provider Name | Lydia Saule Huber |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710112834 PECOS PAC ID: 5092867986 Enrollment ID: I20090724000078 |
| Provider Name | Joshua R Dyer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962630236 PECOS PAC ID: 7911053244 Enrollment ID: I20090928000650 |
| Provider Name | Margaret K Boyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093046245 PECOS PAC ID: 1850429028 Enrollment ID: I20100507000727 |
| Provider Name | Karim S Saleh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770784050 PECOS PAC ID: 2365635919 Enrollment ID: I20101015000282 |
| Provider Name | Philip J Frank |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174523435 PECOS PAC ID: 9830373398 Enrollment ID: I20110406000953 |
| Provider Name | Beverly A Hohn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982789350 PECOS PAC ID: 2365627031 Enrollment ID: I20110421000780 |
| Provider Name | Mark W Clark |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114081577 PECOS PAC ID: 0143405829 Enrollment ID: I20110421000841 |
| Provider Name | Dawn S Whitman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295874543 PECOS PAC ID: 3274718499 Enrollment ID: I20110503000184 |
| Provider Name | Mindy R Perry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306125141 PECOS PAC ID: 3678747607 Enrollment ID: I20111130000910 |
| Provider Name | Brent W Lindberg |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144506080 PECOS PAC ID: 4981870219 Enrollment ID: I20120106000830 |
| Provider Name | Jeffrey S Schack |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366559635 PECOS PAC ID: 6002067543 Enrollment ID: I20121110000158 |
| Provider Name | Jennifer L Cotton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1396051520 PECOS PAC ID: 9931368503 Enrollment ID: I20130521000655 |
| Provider Name | Vanessa Marie Welch-pemberton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700194149 PECOS PAC ID: 6507009180 Enrollment ID: I20130829000511 |
| Provider Name | Crystal L Garrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780017525 PECOS PAC ID: 2961637582 Enrollment ID: I20131106000987 |
| Provider Name | Curtis G. G. Greenfield |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467761619 PECOS PAC ID: 7911136130 Enrollment ID: I20140211001848 |
| Provider Name | Jonathan D Rabon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487849766 PECOS PAC ID: 6002127719 Enrollment ID: I20150623000450 |
| Provider Name | Kim L Burrow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699182071 PECOS PAC ID: 4981917549 Enrollment ID: I20150725012605 |
| Provider Name | Daniel A Pratt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114396736 PECOS PAC ID: 8820308703 Enrollment ID: I20151104002277 |
| Provider Name | Ryan W Coon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1396986402 PECOS PAC ID: 1456653534 Enrollment ID: I20160106001512 |
| Provider Name | Amy M Dwyer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437298254 PECOS PAC ID: 4880997238 Enrollment ID: I20160119002754 |
| Provider Name | Katy A Herr |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356535199 PECOS PAC ID: 3375848872 Enrollment ID: I20160222000956 |
| Provider Name | Shelly R Nicol |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023244555 PECOS PAC ID: 3274830807 Enrollment ID: I20160328000849 |
| Provider Name | Thomas C Roe |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326338468 PECOS PAC ID: 9032409388 Enrollment ID: I20160527001630 |
| Provider Name | Natalie G Peters |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194174433 PECOS PAC ID: 8224321088 Enrollment ID: I20160801002094 |
| Provider Name | Jennifer A Irwin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356505283 PECOS PAC ID: 6901166040 Enrollment ID: I20180208003120 |
| Provider Name | Joel D Hencken |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235241910 PECOS PAC ID: 1557393444 Enrollment ID: I20180509001766 |
| Provider Name | Edward G Worsman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477987386 PECOS PAC ID: 3870842685 Enrollment ID: I20180827002990 |
| Provider Name | William K Mccaw |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831683895 PECOS PAC ID: 7719237775 Enrollment ID: I20180912002474 |
| Provider Name | Edith Anyieni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881173979 PECOS PAC ID: 9739424128 Enrollment ID: I20181212002394 |
| Provider Name | Susan J Poole |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265578363 PECOS PAC ID: 2961747118 Enrollment ID: I20181217002870 |
| Provider Name | Megan L Rabon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740566496 PECOS PAC ID: 0941635130 Enrollment ID: I20200129001660 |
| Provider Name | Christopher H Fraczek |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497906986 PECOS PAC ID: 1951730282 Enrollment ID: I20200407002169 |
| Provider Name | Kate Noel Donahue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386108348 PECOS PAC ID: 0143650184 Enrollment ID: I20200415002293 |
| Provider Name | Tamara Allison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598387631 PECOS PAC ID: 4789009184 Enrollment ID: I20200803000148 |
| Provider Name | Adaugo Iwuoha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295372373 PECOS PAC ID: 4183035264 Enrollment ID: I20201120000859 |
| Provider Name | Sarah Schrauben |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851525620 PECOS PAC ID: 0648581223 Enrollment ID: I20201125001263 |
| Provider Name | Elizabeth M Knight |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215534128 PECOS PAC ID: 9436561180 Enrollment ID: I20201222000917 |
| Provider Name | Lindsay B Randall |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073066791 PECOS PAC ID: 6608280342 Enrollment ID: I20210120003414 |
| Provider Name | Candice Barnett |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720362569 PECOS PAC ID: 4880983634 Enrollment ID: I20210520003029 |
| Provider Name | Zachary D Mangum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053929414 PECOS PAC ID: 1456751858 Enrollment ID: I20210607000602 |
| Provider Name | Wendy Marlene Long |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073747606 PECOS PAC ID: 9436555976 Enrollment ID: I20210908001583 |
| Provider Name | Mercy Omijie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154928901 PECOS PAC ID: 0244630317 Enrollment ID: I20211027000411 |
| Provider Name | Rachael R Mishanec |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245726959 PECOS PAC ID: 8628468121 Enrollment ID: I20211123002329 |
| Provider Name | Ohtae Kwon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770187627 PECOS PAC ID: 0749650133 Enrollment ID: I20221229000575 |
| Provider Name | Preston Lee Horstman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760054035 PECOS PAC ID: 7911377221 Enrollment ID: I20230103001046 |
| Provider Name | Paige Mullins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508310178 PECOS PAC ID: 8426428426 Enrollment ID: I20230109002345 |
| Provider Name | Melanie Sklar |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528529518 PECOS PAC ID: 1153791959 Enrollment ID: I20230111001724 |
| Provider Name | Ryan Black |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366969016 PECOS PAC ID: 8921479726 Enrollment ID: I20230113000349 |
| Provider Name | Sarah Wargin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336502202 PECOS PAC ID: 5890166482 Enrollment ID: I20230118001259 |
| Provider Name | Joshua David Landis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689393803 PECOS PAC ID: 9830560218 Enrollment ID: I20230123000513 |
| Provider Name | Tara Leila Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386257491 PECOS PAC ID: 3274904610 Enrollment ID: I20230124000597 |
| Provider Name | Michael Zajfert |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740581263 PECOS PAC ID: 7315125598 Enrollment ID: I20230124001262 |
| Provider Name | Rebecca Esther Merritt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164518304 PECOS PAC ID: 0042612848 Enrollment ID: I20230206000650 |
| Provider Name | Rebecca Pike |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841278280 PECOS PAC ID: 8426011016 Enrollment ID: I20230220000861 |
| Provider Name | Mary Josephine Hendrickson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699755561 PECOS PAC ID: 6507225042 Enrollment ID: I20230630002809 |
| Provider Name | Stephanie Horan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760900054 PECOS PAC ID: 8325407646 Enrollment ID: I20230705002529 |
| Provider Name | Jason O'ryan Arnold |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174758700 PECOS PAC ID: 9739549403 Enrollment ID: I20230713002630 |
| Provider Name | Raymark Layda Morales |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386231793 PECOS PAC ID: 9931569514 Enrollment ID: I20230713003375 |
| Provider Name | Massoud Stephane |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508941204 PECOS PAC ID: 5294989471 Enrollment ID: I20230721000719 |
| Provider Name | Ethiopia Zerfu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366165250 PECOS PAC ID: 9638531304 Enrollment ID: I20230811000999 |
| Provider Name | Alaba Tosin Kehinde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437809647 PECOS PAC ID: 6709231566 Enrollment ID: I20231013001629 |
| Provider Name | Kerrie L Petech |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265414544 PECOS PAC ID: 0941656102 Enrollment ID: I20231024001756 |
| Provider Name | Travis Dylan Dennison |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1104583608 PECOS PAC ID: 2961859285 Enrollment ID: I20231108002174 |
| Provider Name | Allison Rose Chambers-dixson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790217578 PECOS PAC ID: 2365899556 Enrollment ID: I20231109001313 |
| Provider Name | Ollie Gibson-lavell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073096459 PECOS PAC ID: 9739536947 Enrollment ID: I20231109002090 |
| Provider Name | Shawn Marie Wolf |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861749202 PECOS PAC ID: 6305294810 Enrollment ID: I20231122000502 |
| Provider Name | Ashley Ellis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316654973 PECOS PAC ID: 2567805864 Enrollment ID: I20240202002973 |
| Provider Name | Mami Ogasawara-whitehead |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477979292 PECOS PAC ID: 3072956093 Enrollment ID: I20240207000825 |
| Provider Name | Kay Lynn Kessel-hanna |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1144319401 PECOS PAC ID: 1153764832 Enrollment ID: I20240209001163 |
| Provider Name | Julian Shorter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790499358 PECOS PAC ID: 8224472568 Enrollment ID: I20240214004226 |
| Provider Name | Jennifer Moore |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225554918 PECOS PAC ID: 9537503875 Enrollment ID: I20240214004458 |
| Provider Name | Mercy Itesa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790272920 PECOS PAC ID: 2466830153 Enrollment ID: I20240311000000 |
| Provider Name | Diane Ruth Shewmaker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538835723 PECOS PAC ID: 7618313610 Enrollment ID: I20240313001284 |
Fletcher Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 Ne Park Plaza Dr, Suite 292, Vancouver, WA 98684 Phone: 360-524-5879 Fax: 360-326-1834 | |
Daybreak Vancouver Outpatient Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11818 Se Mill Plain Blvd, Suite 307, Vancouver, WA 98684 Phone: 360-750-9635 Fax: 360-334-9541 | |
Sleep Health Clinic Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2501 Ne 134th St Ste 203, Vancouver, WA 98686 Phone: -- | |
Awaken Counseling, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4602 Ne 59th Ave, Vancouver, WA 98661 Phone: 503-410-3048 | |
Vancover Treatment Solutions Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2009 Ne 117th Street, Ste. 101, Vancouver, WA 98686 Phone: 360-566-9112 Fax: 360-566-9133 | |
Moontree Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3305 Main St Ste 23, Vancouver, WA 98663 Phone: 360-949-2727 | |
Dale B Mortimer Md Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10000 Ne 7th Ave, Suite 385, Vancouver, WA 98685 Phone: 360-882-9058 Fax: 360-567-0861 |