| Pacific Mental Health Llc | |
|
5108 196th St Sw Ste 350 Lynnwood WA 98036-6169 | |
| (425) 582-2041 | |
| Not Available |
| Full Name | Pacific Mental Health Llc |
|---|---|
| Speciality | Counselor |
| Location | 5108 196th St Sw Ste 350, Lynnwood, Washington |
| Authorized Official Name and Position | Jeanette Eliassen (BILLING SPECIALIST) |
| Authorized Official Contact | 4256973674 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Mental Health Llc 5108 196th St Sw C/o Rxdx Medical Billing Services Llc, Ste 310 Lynnwood WA 98036-6169 Ph: (425) 697-3674 | Pacific Mental Health Llc 5108 196th St Sw Ste 350 Lynnwood WA 98036-6169 Ph: (425) 582-2041 |
| NPI Number | 1255987368 |
|---|---|
| Provider Enumeration Date | 08/14/2019 |
| Last Update Date | 03/12/2025 |
| Certification Date | 03/12/2025 |
| Medicare PECOS PAC ID | 8527584747 |
|---|---|
| Medicare Enrollment ID | O20250430000880 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255987368 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Laura Martina Eastwick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871960864 PECOS PAC ID: 7618329467 Enrollment ID: I20240117004242 |
| Provider Name | Jeffery James Goff |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497051999 PECOS PAC ID: 9436675659 Enrollment ID: I20250430001001 |
| Provider Name | Lucinda Rodriguez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285060798 PECOS PAC ID: 0547788630 Enrollment ID: I20250513000627 |
| Provider Name | Frances L Murphy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942076146 PECOS PAC ID: 2466970512 Enrollment ID: I20250513002484 |
| Provider Name | Andrea M Pittman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992232011 PECOS PAC ID: 6608394663 Enrollment ID: I20250514001689 |
| Provider Name | Hannah Jn Andrist |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558048991 PECOS PAC ID: 7315465036 Enrollment ID: I20250516001479 |
| Provider Name | Emily A Ehrhart |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558593715 PECOS PAC ID: 9436668704 Enrollment ID: I20250530000283 |
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