Individual provider Active NPI

Etjen L Mack-Palmer, LMHC

  • Mental Health Counselor
  • Bellingham, WA
National Provider Identifier
1154963189
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MC60998008 Issued in WA
Practice address
1400 Broadway
Bellingham, WA 98225-3036
Phone
(206) 227-1839
NPI assigned
Oct 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MC60998008 WA Primary

Addresses

Primary practice location

1400 Broadway
Bellingham, WA 98225-3036

Mailing address

1400 Broadway
Bellingham, WA 98225-3036
Phone (206) 227-1839

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.accent-counseling.com Direct

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240219003157 WA Practitioner - Mental Health Counselor 6103260088 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MC60998008WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Accent Counseling, Inc. Mental Health CurrentSince Jan 1, 2024 Accepting new patients

Locations

1303 Commercial St
Ste 4
Bellingham, WA 98225
Phone (360) 922-6977

4350 Cordata Pkwy
Ste 102
Bellingham, WA 98226
Phone (360) 922-6977

1400 Broadway
Bellingham, WA 98225
Phone (360) 922-6977

Organizations & group practices 1

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": "1570665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1154963189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 BROADWAY",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982253036",
            "telephone_number": "206-227-1839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 BROADWAY",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982253036",
            "telephone_number": "206-227-1839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACK-PALMER",
        "first_name": "ETJEN",
        "middle_name": "L",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-10",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC60998008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.accent-counseling.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1303 Commercial St Ste 4",
            "city": "Bellingham",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982254348",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

Verify at the official NPI Registry.