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

Vladimir P Lisenko, LMHCNCC

Individual provider Mental Health Counselor · NPI 1104013390

Vladimir P Lisenko, LMHCNCC is a Mental Health Counselor in Manson, Washington. Qualified in 1976, 50 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
50
Licensed in
WA
In the registry since
2007

Practice location Address checks out

750 Lakeshore Dr
Manson, WA 98831-9618
Phone: (206) 714-9710
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence LH00010867 (WA)

Record details

NPI number1104013390
Entity typeIndividual (Type 1)
GenderMale
Credentials LMHCNCC
Sole proprietorYes
NPI enumeratedOctober 1, 2007
Last updated in NPPESJanuary 19, 2024
Certification dateJanuary 19, 2024

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 1976 (50 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Manson