MEDICARE: RISING SKY COUNSELING

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor
2	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1932076601
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RISING SKY COUNSELING

Provider Business Mailing Address
First Line	:	1942 WESTLAKE AVE APT 3111
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98101-1283
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1942 WESTLAKE AVE APT 3111
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98101-1283
Country	:	US
Telephone Number	:	509-617-4890
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SKYLAR O LENNON
Credential	:	LMHC, SUDP
Telephone Number	:	509-618-4890

Provider Enumeration Date	:	10/18/2025
Last Update Date	:	10/21/2025

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Directions to “RISING SKY COUNSELING ” Practice Location

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