PACIFIC MENTAL HEALTH LLC
NPI 1255987368
Counselor - Mental Health in Lynnwood, WA
About Pacific Mental Health Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PACIFIC MENTAL HEALTH LLC (NPI 1255987368) is a healthcare organization registered as a mental health in Lynnwood, Washington and active in the NPI registry since August 2019. The organization maintains a secondary practice location in Seattle and lists Jeanette Eliassen, Billing Specialist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Pacific Mental Health Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
21Medicare enrollment records show 21 clinicians reassign Medicare billing to Pacific Mental Health LLC, which bills Medicare for the services they deliver. Of these, 12 practice at this address and 14 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 3
Nearest to this location (20)
See all 21Lynnwood, WA 98036
Lynnwood, WA 98036
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 Pacific Mental Health LLC's NPI number?
The NPI number for Pacific Mental Health LLC is 1255987368. It was assigned to this organization in the NPPES registry on August 14, 2019.
Where is Pacific Mental Health LLC located?
Pacific Mental Health LLC is located at 5108 196th St SW Ste 350, Lynnwood, WA 98036. The listed phone number is (425) 582-2041.
What is Pacific Mental Health LLC's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Pacific Mental Health LLC enrolled in Medicare?
Yes. Pacific Mental Health LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Pacific Mental Health LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 21 clinicians in 3 Medicare specialties reassign their Medicare billing to Pacific Mental Health LLC. A 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 the clinician's services. The largest specialties are Mental Health Counselor (15), Clinical Social Worker (5) and Marriage and Family Therapist (1). Of these, 12 practice at this address and 14 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Pacific Mental Health LLC accept?
Health plans from Premera Blue Cross Blue Shield of Alaska list Pacific Mental Health LLC 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 Pacific Mental Health LLC was last updated on March 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Pacific Mental Health Llc · NPI 1255987368
Mental Health organization in Lynnwood, Washington. Organization record, active in the CMS NPPES registry since August 14, 2019.
## Identity
- **NPI:** 1255987368 (Entity type: Organization)
- **Enumerated:** August 14, 2019
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Organization subpart:** No
- **Authorized official:** Jeanette Eliassen, BILLING SPECIALIST
## Practice location
- **Address:** 5108 196TH ST SW STE 350, Lynnwood, WA 98036-6169
- **Phone:** (425) 582-2041
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 21 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Mental Health Counselor (15), Clinical Social Worker (5), Marriage and Family Therapist (1); 12 practice at this address and 14 within 10 miles; [full list](https://npiprofile.com/npi/1255987368/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 12, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1255987368) · Data from the CMS NPPES public registry.