Lumiere LLC
NPI 1124883160ActiveOrganization· Psychologist, Clinical· Vancouver, WA
Psychologist, Clinical in Vancouver, Washington, registered in NPPES in February 2024. The authorized official on file is David Opollo Ross, PSYD, Clinical Director.
Overview
| NPI | 1124883160 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 19, 2024 |
| Last updated in NPPES | Jul 11, 2024 |
| Certified by provider | Jul 11, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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