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LYDIA PECKOVER
NPI 1639663560
Counselor in Lynden, WA

Active since June 14, 2018PECOS Enrolled
1610 GROVER ST STE B-11, LYNDEN, WA 98264(425) 200-5593 Get Directions Write a Review

NPPES record last updated: March 6, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Mar 6, 2026, Dec 19, 2018, Jun 16, 2018 (3 updates tracked since 2018).

About Lydia Peckover NPPES

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

LYDIA PECKOVER (NPI 1639663560) is an individual counselor in Lynden, Washington, licensed in Washington (LH60911222) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1639663560
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameLYDIA PECKOVER
Location Address1610 GROVER ST STE B-11Lynden, WA 98264-1539
Mailing Address1610 Grover St Ste B11Lynden, WA 98264-1504 · (425) 200-5593
Phone(425) 200-5593
Sole ProprietorYes
Enumeration DateJune 14, 2018
Last NPPES UpdateMarch 6, 20263 updates tracked since enumeration
NPPES CertifiedMarch 6, 2026
✔ NPI 1639663560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Licenses✔ Licensed in WA · LH60911222✔ Licensed in WA · MC60686799
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License LH60911222 (WA)
1610 GROVER ST STE B-11, Lynden, WA 98264
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Secondary Practice Locations 2

Location 1811 Madison StEverett, WA 98203 · Phone (425) 212-4200 · Fax (425) 212-4201
Location 21200 DuPont St Ste 2HBellingham, WA 98225-3100 · Phone (425) 200-5593

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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)

Lydia Peckover 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 Reassignments

3

Medicare enrollment records show Lydia Peckover reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Arise Well Counseling Services LLC
Same address
Counselor
1610 GROVER ST STE B11
Lynden, WA 98264
  • Reassigned Medicare billing, Washington enrollment
NPI 1013623867 (425) 200-5593
Mental Health Specialty Group PA
2,360 mi
Mental Health
110 N CORCORAN ST FL 5
Durham, NC 27701
  • Reassigned Medicare billing, Washington enrollment
  • 128 clinicians in this Medicare group
NPI 1801472634 (323) 205-7088
Grow Healthcare Group PA
2,769 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Washington enrollment
  • 519 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

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 Lydia Peckover's NPI number?

The NPI number for Lydia Peckover is 1639663560. It was assigned to this individual provider in the NPPES registry on June 14, 2018.

Where is Lydia Peckover located?

Lydia Peckover practices at 1610 Grover St Ste B-11, Lynden, WA 98264. The listed phone number is (425) 200-5593.

What is Lydia Peckover's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Lydia Peckover enrolled in Medicare?

Yes. Lydia Peckover is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Lydia Peckover's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lydia Peckover reassigns Medicare benefits to 3 organizations: Arise Well Counseling Services LLC (Lynden, WA), Mental Health Specialty Group PA (Durham, NC) and Grow Healthcare Group PA (Miami, FL). Each 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 Lydia Peckover's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lydia Peckover accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Lydia Peckover 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 Lydia Peckover was last updated on March 6, 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.