Pacific Mental Health LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

PACIFIC MENTAL HEALTH LLC

Practice address

5108 196TH St SW Ste 350
Lynnwood, WA 98036-6169

Phone

(425) 582-2041

NPI assigned

Aug 14, 2019

Last updated

Mar 12, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeanette Eliassen

Title

Billing Specialist

Phone

(425) 697-3674

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 54

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Hannah J Andrist, MA, LMHCA, MT-BC

  • Counselor
  • Lynnwood, WA
  • NPI 1558048991
  Medicare reassignment NPD
• Angelina L Bowen, MA, LMFT

  • Marriage & Family Therapist
  • Morton, WA
  • NPI 1063793875
  Medicare reassignment NPD
• Katherine R Cooke

  • Mental Health Counselor
  • Lynnwood, WA
  • NPI 1780468660
  Medicare reassignment NPD
• Angela Marie D'Elia, MS, LMHC

  • Mental Health Counselor
  • Lynnwood, WA
  • NPI 1932587177
  Medicare reassignment NPD
• Heather I Diaz, LMHC

  • Mental Health Counselor
  • Lynnwood, WA
  • NPI 1578883757
  Medicare reassignment NPD
• Laura Martina Eastwick, LICSW, LCSW

  • Clinical Social Worker
  • Lynnwood, WA
  • NPI 1871960864

  Mental Health

  Medicare reassignment NPD
• Jeffery James Goff, MA, PHD

  • Mental Health Counselor
  • Lynnwood, WA
  • NPI 1497051999
  Medicare reassignment NPD
• Fredianne Gray, LSWAIC

  • Counselor
  • Lynnwood, WA
  • NPI 1659052470
  Medicare reassignment NPD
• Gabriel Drew Guth

  • Counselor
  • Lynnwood, WA
  • NPI 1265909535

  Mental Health

  Medicare reassignment NPD
• Chad Hara, MA

  • Counselor
  • Lynnwood, WA
  • NPI 1750156246
  Medicare reassignment NPD
• Mackenzie R Kerosky, LMHC

  • Counselor
  • Lynnwood, WA
  • NPI 1548941362
  Medicare reassignment NPD
• Elizabeth M McCully, LICSW

  • Clinical Social Worker
  • Seattle, WA
  • NPI 1982421426

  Mental Health

  Medicare reassignment NPD

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

{
    "created_epoch": "1565740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741737600000",
    "number": "1255987368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5108 196TH ST SW",
            "address_2": "C/O RXDX MEDICAL BILLING SERVICES LLC, STE 310",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980366169",
            "telephone_number": "425-697-3674",
            "fax_number": "888-641-6642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5108 196TH ST SW STE 350",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980366169",
            "telephone_number": "425-582-2041"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "811 1st Ave Ste 262",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981041438",
            "country_code": "US",
            "telephone_number": "425-582-2041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PACIFIC MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-14",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A",
        "authorized_official_last_name": "ELIASSEN",
        "authorized_official_first_name": "JEANETTE",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "425-697-3674"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Boluwatife Idowu Owodunni
• Bailey E Pace
• David A Pacey, DMD
• Priscilla Ann Pacheco, SLP-CCC
• Pacific Chiropractic Clinic PLLC
• Pacific Physicians Laboratory, Inc.
• Pacifica SL Lynnwood LLC (Pacifica Senior Living Lynnwood)
• Katherine Packard
• Pacmed Clinics
• Marc Pagaduan, DPT

• Mental Health Counselor in Lynnwood, WA
• Providers in Lynnwood, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.