CARLA SUZETTE MEDEL-AGOSTO LMHCA
NPI 1104613819
Counselor - Mental Health in Kennewick, WA
About Carla Suzette Medel-agosto Lmhca NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARLA SUZETTE MEDEL-AGOSTO LMHCA (NPI 1104613819) is an individual mental health provider in Kennewick, Washington, licensed in Washington (61523326) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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)
Carla Suzette Medel-agosto Lmhca is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Carla Medel-agosto reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Kennewick, WA 99336
- Reassigned Medicare billing, Washington enrollment
- 21 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Carla Medel-agosto's NPI number?
The NPI number for Carla Medel-agosto is 1104613819. It was assigned to this individual provider in the NPPES registry on April 24, 2025. The provider is also known as Carla Medel.
Where is Carla Medel-agosto located?
Carla Medel-agosto practices at 3321 W Kennewick Ave Ste 150, Kennewick, WA 99336. The listed phone number is (509) 735-6446.
What is Carla Medel-agosto's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Carla Medel-agosto enrolled in Medicare?
Yes. Carla Medel-agosto is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Carla Medel-agosto's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carla Medel-agosto reassigns Medicare benefits to Lutheran Community Services Northwest (Kennewick, 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 Carla Medel-agosto's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Carla Medel-agosto accept?
Health plans from Ambetter Health list Carla Medel-agosto 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 Carla Medel-agosto was last updated on February 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.
# Carla Suzette Medel-Agosto, LMHCA · NPI 1104613819
Mental Health provider in Kennewick, Washington. Individual provider, active in the CMS NPPES registry since April 24, 2025.
## Identity
- **NPI:** 1104613819 (Entity type: Individual)
- **Enumerated:** April 24, 2025
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 61523326 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 3321 W KENNEWICK AVE STE 150, Kennewick, WA 99336-2968
- **Phone:** (509) 735-6446
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Lutheran Community Services Northwest (NPI 1447329529, Kennewick, WA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** February 19, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1104613819) · Data from the CMS NPPES public registry.