LISA MARIE GODFREY MARTIN (PHD) – Clinical Psychologist, NPI 1427319052

LISA MARIE GODFREY MARTIN (PHD) is a healthcare provider. based in Ellensburg, Washington. specializing in Clinical Psychologist. They hold the professional credentials PHD. They hold a License No. PY 60253453 (WA). The NPI Number for LISA MARIE GODFREY MARTIN (PHD) is 1427319052

Main info

Female
Sole Proprietor
15 Years Of Experience
Accepts Medicare Assignment
Name
LISA MARIE GODFREY MARTIN (PHD)
NPI
1427319052
Phone
(509) 201-1616
Address
206 W 1ST AVE
Enumeration Date
30 May 2012
Last Update Date
15 December 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5092011616
Graduation Year
2011 (15 years ago)
PAC ID
8628234556
Group Practice PAC ID
3274897665
Professional Enrollment ID
I20120723000260
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

Provider Addresses for LISA MARIE GODFREY MARTIN (PHD)

  • 206 W 1ST AVE

    ELLENSBURG, WA 989263002

    Phone: (509) 201-1616

    Fax: (844) 755-6412

    Type: Location

  • PO BOX 1533

    ELLENSBURG, WA 989261908

    Phone: (509) 856-4998

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-07-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120723000260IClinical PsychologistWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour20019$0
View full utilization report →

Insurance plans in this area (ZIP 98926)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3274897665View full group profile
NameSpecialtyState
Clinical Social WorkerWA
Mental Health CounselorWA
Clinical Social WorkerMI
Mental Health CounselorWA
Nurse PractitionerWA
Clinical PsychologistCA
Clinical PsychologistOR
Clinical Social WorkerWA
Mental Health CounselorWA
Clinical Social WorkerWA

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Frequently asked questions

What is the standard ID for LISA MARIE GODFREY MARTIN (PHD) in the U.S.?
In the U.S., LISA MARIE GODFREY MARTIN (PHD) is identified by NPI 1427319052.
Is LISA MARIE GODFREY MARTIN (PHD)'s NPI status active today?
Active status means LISA MARIE GODFREY MARTIN (PHD)'s NPI record is not deactivated in the public file.
Which specialty label fits LISA MARIE GODFREY MARTIN (PHD)?
NPPES ties LISA MARIE GODFREY MARTIN (PHD) to Clinical Psychologist in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to LISA MARIE GODFREY MARTIN (PHD)?
The directory associates LISA MARIE GODFREY MARTIN (PHD) with Ellensburg, Washington. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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