SEOLAH PARK
NPI 1093270704
Counselor - Mental Health in Federal Way, WA
About Seolah Park NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SEOLAH PARK (NPI 1093270704) is an individual mental health provider in Federal Way, Washington, licensed in Washington (MC61186722) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Seolah Park is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Seolah Park reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Renton, WA 98055
- Reassigned Medicare billing, Washington enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Seolah Park's NPI number?
The NPI number for Seolah Park is 1093270704. It was assigned to this individual provider in the NPPES registry on February 6, 2019.
Where is Seolah Park located?
Seolah Park practices at 3081 S Christys Crossing Dr, Federal Way, WA 98003. The listed phone number is (503) 269-2998.
What is Seolah Park's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Seolah Park enrolled in Medicare?
Yes. Seolah Park is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Seolah Park's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Seolah Park reassigns Medicare benefits to Peaceful Heart Therapy, PLLC (Renton, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Seolah Park's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Seolah Park accept?
Health plans from Premera Blue Cross Blue Shield of Alaska list Seolah Park as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Seolah Park was last updated on November 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Seolah Park · NPI 1093270704
Mental Health provider in Federal Way, Washington. Individual provider, active in the CMS NPPES registry since February 6, 2019.
## Identity
- **NPI:** 1093270704 (Entity type: Individual)
- **Enumerated:** February 6, 2019
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** MC61186722 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 3081 S CHRISTYS CROSSING DR, Federal Way, WA 98003-7785
- **Phone:** (503) 269-2998
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Peaceful Heart Therapy, PLLC (NPI 1497521694, Renton, WA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 1, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1093270704) · Data from the CMS NPPES public registry.