GYTHA CHRISTINA NYDAM
NPI 1154937704
Counselor - Mental Health in Olympia, WA

Active since September 18, 2020PECOS Enrolled
3200 CAPITAL MALL DR SW, OLYMPIA, WA 98502(281) 203-9798 Get Directions Write a Review

NPPES record last updated: September 22, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 8, 2024, Sep 18, 2020 (2 updates tracked since 2020).

About Gytha Christina Nydam NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GYTHA CHRISTINA NYDAM (NPI 1154937704) is an individual mental health provider in Olympia, Washington, licensed in Washington (LH61663187) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1154937704
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameGYTHA CHRISTINA NYDAM
Location Address3200 CAPITAL MALL DR SWOlympia, WA 98502-8658
Mailing Address3200 Capital Mall Dr Sw Apt C304Olympia, WA 98502-8784 · (281) 203-9798
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 18, 2020
Last NPPES UpdateSeptember 22, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2025
✔ NPI 1154937704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in WA · LH61663187✔ Licensed in WA · CG61091515
3200 CAPITAL MALL DR SW, Olympia, WA 98502

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)

Gytha Christina Nydam is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5799282497
PECOS Enrollment IDI20251008003500
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Gytha Nydam reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical
6505 216TH ST SW STE 100
Mountlake Terrace, WA 98043
  • Reassigned Medicare billing, Washington enrollment
  • 777 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 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Doula
3200 CAPITAL MALL DR SW, U304
OLYMPIA, WA 98502
Massage Therapist
3200 CAPITAL MALL DR SW, BB301
OLYMPIA, WA 98502

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 Gytha Nydam's NPI number?

The NPI number for Gytha Nydam is 1154937704. It was assigned to this individual provider in the NPPES registry on September 18, 2020.

Where is Gytha Nydam located?

Gytha Nydam practices at 3200 Capital Mall Dr SW, Olympia, WA 98502. The listed phone number is (281) 203-9798.

What is Gytha Nydam's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Gytha Nydam enrolled in Medicare?

Yes. Gytha Nydam is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Gytha Nydam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gytha Nydam reassigns Medicare benefits to Mindful Therapy Group PC (Mountlake Terrace, 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 Gytha Nydam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gytha Nydam accept?

Health plans from BridgeSpan Health Company, Premera Blue Cross Blue Shield of Alaska and Regence BlueCross BlueShield of Oregon list Gytha Nydam 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 Gytha Nydam was last updated on September 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.