Petya Pacheva, MA, LMHC, CDP, MHP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH60640104 Issued in WA

Practice address

2401 Bristol CT SW Ste D101
Olympia, WA 98502-6037

Phone

(360) 763-6426

NPI assigned

May 1, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1493596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1609301381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11814",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985081814",
            "telephone_number": "360-763-6426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 BRISTOL CT SW STE D101",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985026037",
            "telephone_number": "360-763-6426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACHEVA",
        "first_name": "PETYA",
        "credential": "MA, LMHC, CDP, MHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-01",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP60296151",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60640104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Atilade A Owolabi, APRN, PMHNP-BC
• Dawn E Owsley, L.M.P.
• Kaelynn Pablo
• Kristen Pace, ARNP
• Kaila Pacheco
• Pacific Behavioral Health & Wellness
• Pacific Medical, Inc.
• Pacific Northwest Dental Group, LLC
• Pacific Northwest Eye Care, PS
• Pacific Northwest Eye Care, PS

• Mental Health Counselor in Olympia, WA
• Providers in Olympia, 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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.