Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lisa Kennedy

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1124422332

Lisa Kennedy is a Mental Health Counselor in Everett, Washington. Qualified in 2020, 6 years ago. Practices with Western Washington Medical Group Inc Ps, a 112-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
6
Licensed in
WA
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

3525 Colby Ave Ste 200
Everett, WA 98201-4782
Phone: (425) 259-1366
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1901 Martin Luther King Jr Way S, Seattle, WA 98144-4801 — (206) 322-7676

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence LH60801702 (WA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1124422332
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 17, 2014
Last updated in NPPESMarch 17, 2018
Mailing address3525 Colby Ave Ste 200, Everett, WA 98201-4782

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Western Washington Medical Group Inc Ps — 112 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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