Matthew Tiemeyer, MA, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH00010965 Issued in WA

Practice address

420 5TH Ave S Ste 203C
Edmonds, WA 98020-3632

Phone

(425) 275-2198

NPI assigned

Aug 20, 2007

Last updated

Jan 7, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

• Blue Harbor Counseling, Inc.

  • Community/Behavioral Health Agency
  • Seattle, WA
  • NPI 1053702712
  Authorized official Same address or phone

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704585600000",
    "number": "1437342888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 5TH AVE S STE 203C",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980203632",
            "telephone_number": "425-275-2198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 5TH AVE S STE 203C",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980203632",
            "telephone_number": "425-275-2198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIEMEYER",
        "first_name": "MATTHEW",
        "credential": "MA, LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-20",
        "last_updated": "2024-01-07",
        "certification_date": "2024-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00010965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Sarah Thomson, LMP
• Jeanette Thorson, LMFT
• Thrifty Payless Inc (Rite Aid Pharmacy 05183)
• Kalpana Thumma
• Snigda Thyagaraj, PHARMD
• Marla Timm
• Lauren Elizabeth Timpe, RDN, CD, CDCES
• Elisabeth Kartika Ting, MD
• Harmony Tinley
• Sandra Tissell, OTRL

• Mental Health Counselor in Edmonds, WA
• Providers in Edmonds, 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 Jan 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.