Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1962925123 Individual Practitioner Female Practitioner

Mary Lou Gage , MA, LMHC, CDPT

Counselor - Professional • Edmonds, WA

Professional Overview & Biography Verified Profile Summary

Mary Gage, MA, LMHC, CDPT is a registered healthcare professional specializing in Counselor - Professional in Edmonds, WA. Practice services are available at 21701 76TH AVE W under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

21701 76th Ave W
Ste. 301

Edmonds, WA 980266200

Telephone 4254722681
Associated Practice Facility / Clinic
🏢 Kean B. Lawlor, Md, Pllc Facility NPI 1457547655

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Edmonds, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.5 Yrs
State Avg: 15.2 Yrs
Regional Practice Density
4 Specialists

Practicing in Edmonds, WA (615 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-03-21
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

Definition to come...

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

State License WA CO60910944

Definition to come...

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

State License WA LH00008392

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1023515400 (WA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1013723899

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Practice Location October 30, 2024

Registered at 21701 76TH AVE W, STE. 301, EDMONDS, WA 980266200 (Tel: 4254722681)

📍
Updated Business Mailing Address October 30, 2024

Registered at 8810 202ND PL SW, EDMONDS, WA 980266636 (Tel: 4253209974)

👤
Provider Name / Credentials Updated October 30, 2024

Recorded as MARY GAGE, MA, LMHC, CDPT

📍
Updated Practice Location November 02, 2018

Registered at 2732 GRAND AVE STE 101, EVERETT, WA 982013416 (Tel: 4253220867)

👤
Provider Name / Credentials Updated November 02, 2018

Recorded as MARY LOU GAGE, MA, LMHC, CDPT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 02, 2018

Counselor (License #CO60910944 in WA)

NPI Profile Active July 19, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location July 19, 2017

Registered at 21907 64TH AVE W STE 200, MOUNTLAKE TERRACE, WA 980436200 (Tel: 4253209958)

📍
Updated Business Mailing Address July 19, 2017

Registered at 9224 7TH ST SE, LAKE STEVENS, WA 982583702 (Tel: 4253209958)

👤
Provider Name / Credentials Updated July 19, 2017

Recorded as MARY LOU GAGE, MA, LMHC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 19, 2017

Counselor (License #LH00008392 in WA)

🟢
Initial NPI Registration & Enumeration July 19, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1962925123
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 19, 2017
Last Update: March 21, 2025
Sole Proprietor: Yes

Mailing Address

8810 202nd Pl Sw

Edmonds, WA 980266636

Phone: 4253209974

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.