Individual provider Active NPI

Consilia Samkia Yeluma

  • Psychiatric/Mental Health Nurse Practitioner
  • Lacey, WA
National Provider Identifier
1043909492
Registry record updated Jan 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP61433733 Issued in WA
Practice address
606 Woodland Square Loop SE
Lacey, WA 98503-9850
Phone
(360) 359-8951
NPI assigned
May 2, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP61433733 WA Primary

Addresses

Primary practice location

606 Woodland Square Loop SE
Lacey, WA 98503-9850

Mailing address

8811 Forest Rd SW # We
Lakewood, WA 98498-1009
Phone (206) 250-5396

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230808001104 WA Practitioner - Nurse Practitioner 2567824550 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP61433733WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kitsap Mental Health Services CurrentSince Jun 15, 2024 Accepting new patients
Clear TMS PLLC Psychiatric/Mental Health CurrentSince Jan 5, 2025 Accepting new patients

Locations

5455 Almira Dr NE
Bremerton, WA 98311
Phone (360) 373-5031

344 Cleveland Ave SE
Ste H
Tumwater, WA 98501
Phone (360) 438-0711

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1682985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769299200000",
    "number": "1043909492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8811 FOREST RD SW # WE",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984981009",
            "telephone_number": "206-250-5396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 WOODLAND SQUARE LOOP SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985039850",
            "telephone_number": "360-359-8951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YELUMA",
        "first_name": "CONSILIA",
        "middle_name": "SAMKIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-02",
        "last_updated": "2026-01-25",
        "certification_date": "2026-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61433733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lacey, WA

Sources for this page

Verify at the official NPI Registry.