Healthcare Provider Details

I. General information

NPI: 1114554805
Provider Name (Legal Business Name): EMILY LOUISE PIEPER LMHC, SUDP, MHP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: EMILY LOUISE LEWIS

II. Dates (important events)

Enumeration Date: 03/24/2020
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15314 163RD CT SE
RENTON WA
98058-8122
US

IV. Provider business mailing address

15314 163RD CT SE
RENTON WA
98058-8122
US

V. Phone/Fax

Practice location:
  • Phone: 952-567-4389
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberCP61227096
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number305511
License Number StateMN
# 3
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberMHC.LH.61265862
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: