MARY LOU GAGE (MA, LMHC, CDPT) – Professional Counselor, NPI 1962925123

MARY LOU GAGE (MA, LMHC, CDPT) is a healthcare provider. based in Everett, Washington. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials MA, LMHC, CDPT. They hold a License No. CO60910944 (WA). The NPI Number for MARY LOU GAGE (MA, LMHC, CDPT) is 1962925123

Main info

Female
Sole Proprietor
26 Years Of Experience
Accepts Medicare Assignment
Name
MARY LOU GAGE (MA, LMHC, CDPT)
NPI
1962925123
Phone
(425) 322-0867
Address
2732 GRAND AVE STE 101
Enumeration Date
19 July 2017
Last Update Date
21 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4259968592
Graduation Year
2000 (26 years ago)
PAC ID
3870027014
Group Practice PAC ID
2163889981
Professional Enrollment ID
I20241112000418
Address ID
WA980524445RE7902XNEXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:8State licenses:2Digital endpointsOther names

1,397 CLINICAL SOCIAL WORKER in WA

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Provider Addresses for MARY LOU GAGE (MA, LMHC, CDPT)

  • 101, Grand Avenue, Arlington Heights, West Marietta, Marietta, Washington County, Ohio, 45750, United States

    EVERETT, WA 982013416

    Phone: (425) 322-0867

    Type: Location

  • 9224, 7th Street Southeast, West Lake Stevens, Lake Stevens, Snohomish County, Washington, 98258, United States

    LAKE STEVENS, WA 982583702

    Phone: (425) 320-9958

    Type: Mailing

  • 8810 202ND PL SW

    EDMONDS, WA 980266636

    Phone: (425) 320-9974

    Type: Mailing

  • 21701 76TH AVE W

    STE. 301

    EDMONDS, WA 980266200

    Phone: (425) 472-2681

    Type: Location

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.

This can happen when there are no reportable CMS Open Payments records.

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: 2024-11-12

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
I20241112000418IClinical Social WorkerWATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98201)

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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: 2163889981View full group profile
NameSpecialtyState
Clinical Social WorkerWA
P S Y C H I A T R YWA
Mental Health CounselorWA
Nurse PractitionerWA
Nurse PractitionerWA
Physician AssistantKS
Physician AssistantWA
Marriage And Family TherapistWA
Undefined Non Physician Type (Specify)WA
Marriage And Family TherapistCA

Reviews

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Frequently asked questions

What federal number belongs to MARY LOU GAGE (MA, LMHC, CDPT)?
The federal identifier for MARY LOU GAGE (MA, LMHC, CDPT) is NPI 1962925123.
Is MARY LOU GAGE (MA, LMHC, CDPT) currently active in the NPI registry?
CMS-published data lists MARY LOU GAGE (MA, LMHC, CDPT) as an active registrant.
Does MARY LOU GAGE (MA, LMHC, CDPT) list a primary specialty?
If you are matching referrals, note Professional Counselor for MARY LOU GAGE (MA, LMHC, CDPT). Clinical services aligned with this taxonomy classification.
Does MARY LOU GAGE (MA, LMHC, CDPT) practice in Washington?
You will see Everett, Washington on file for MARY LOU GAGE (MA, LMHC, CDPT) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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