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ETJEN L MACK-PALMER LMHC
NPI 1154963189
Counselor - Mental Health in Bellingham, WA

Active since October 10, 2019PECOS Enrolled
1400 BROADWAY, BELLINGHAM, WA 98225(206) 227-1839 Get Directions Write a Review

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

Record update history: Feb 24, 2023, Oct 10, 2019 (2 updates tracked since 2019).

About Etjen L Mack-palmer Lmhc NPPES

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

ETJEN L MACK-PALMER LMHC (NPI 1154963189) is an individual mental health provider in Bellingham, Washington, licensed in Washington (MC60998008) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154963189
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameETJEN L MACK-PALMERCredential: LMHC
Location Address1400 BROADWAYBellingham, WA 98225-3036
Mailing Address1400 BroadwayBellingham, WA 98225-3036 · (206) 227-1839
Phone(206) 227-1839
Sole ProprietorNo
Enumeration DateOctober 10, 2019
Last NPPES UpdateJuly 25, 20252 updates tracked since enumeration
NPPES CertifiedJuly 25, 2025
✔ NPI 1154963189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in WA · MC60998008
1400 BROADWAY, Bellingham, WA 98225
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Etjen L Mack-palmer Lmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Etjen Mack-palmer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Accent Counseling, Inc.
Same address
Mental Health
1400 BROADWAY
Bellingham, WA 98225
  • Reassigned Medicare billing, Washington enrollment
  • 16 clinicians in this Medicare group
NPI 1770009557 (360) 922-6977

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.

KATE ANDERSON MFTA
Marriage & Family Therapist
1400 BROADWAY
BELLINGHAM, WA 98225
Whatcom County (360) 922-6977
MACK WHALEY
Counselor (Mental Health)
1400 BROADWAY
BELLINGHAM, WA 98225
Whatcom County (360) 922-6977
AISHA CHAPRA SANDER
Social Worker (Clinical)
1400 BROADWAY
BELLINGHAM, WA 98225
Whatcom County (360) 922-6977
MADELINE SALAS
Counselor (Mental Health)
1400 BROADWAY
BELLINGHAM, WA 98225
Whatcom County (425) 770-9692
SARA AIROLDI
Student in an Organized Health Care Education/Training Program
1400 BROADWAY
BELLINGHAM, WA 98225
Whatcom County (360) 922-6977
JULEA ROSE IVANCOVICH
Counselor (Mental Health)
1400 BROADWAY
BELLINGHAM, WA 98225
Whatcom County (360) 920-6977
JESSICA FLOYD
Counselor (Mental Health)
1400 BROADWAY
BELLINGHAM, WA 98225
Whatcom County (360) 922-6977
DANIELLE LEIGH FORD LMHCA
Counselor (Mental Health)
1400 BROADWAY
BELLINGHAM, WA 98225
Whatcom County (360) 922-6977

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 Etjen Mack-palmer's NPI number?

The NPI number for Etjen Mack-palmer is 1154963189. It was assigned to this individual provider in the NPPES registry on October 10, 2019.

Where is Etjen Mack-palmer located?

Etjen Mack-palmer practices at 1400 Broadway, Bellingham, WA 98225. The listed phone number is (206) 227-1839.

What is Etjen Mack-palmer's specialty?

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

Is Etjen Mack-palmer enrolled in Medicare?

Yes. Etjen Mack-palmer is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Etjen Mack-palmer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Etjen Mack-palmer reassigns Medicare benefits to Accent Counseling, Inc. (Bellingham, 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 Etjen Mack-palmer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Etjen Mack-palmer accept?

Health plans from Ambetter Health and Premera Blue Cross Blue Shield of Alaska list Etjen Mack-palmer 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 Etjen Mack-palmer was last updated on July 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.