Healthcare Provider Details

I. General information

NPI: 1275924193
Provider Name (Legal Business Name): LISA J PIERCE MA, LMHC, LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LISA J PIERCE MA, LMHC, LCPC

II. Dates (important events)

Enumeration Date: 02/13/2015
Last Update Date: 02/25/2026
Certification Date: 02/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

784 S CLEARWATER LOOP, STE 8049
POST FALLS ID
83854-9599
US

IV. Provider business mailing address

784 S CLEARWATER LOOP STE 8049
POST FALLS ID
83854-9599
US

V. Phone/Fax

Practice location:
  • Phone: 206-317-1200
  • Fax: 206-316-8399
Mailing address:
  • Phone: 206-317-1200
  • Fax: 206-316-8399

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number60877931
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number9526
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: