MYCHELLE WICK
NPI 1639720592
Counselor - Professional in Burien, WA

Q: What is Mychelle Wick's NPI number?

The NPI number for Mychelle Wick is 1639720592. It was assigned to this individual provider in the NPPES registry on September 23, 2019.

Q: What is Mychelle Wick's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Mychelle Wick was last updated on July 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since September 23, 2019PECOS Enrolled

1210 SW 136TH ST, BURIEN, WA 98166(586) 405-6647 Get Directions Write a Review

NPPES record last updated: July 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mychelle Wick NPPES

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

MYCHELLE WICK (NPI 1639720592) is an individual professional provider in Burien, Washington and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1639720592

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMYCHELLE WICK

Location Address1210 SW 136TH STBurien, WA 98166-1214

Mailing Address16201 25th Ave WLynnwood, WA 98087-2520 · (586) 405-6647

Phone(586) 405-6647

Sole ProprietorYes

Medical School CMSOtherGraduated 2020

Enumeration DateSeptember 23, 2019

Last NPPES UpdateJuly 28, 2025

NPPES CertifiedJuly 28, 2025

✔ NPI 1639720592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1210 SW 136TH ST, Burien, WA 98166

Open in Google Maps ↗

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mychelle Wick is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4082122957

PECOS Enrollment IDI20250801002788

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.

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.

TAYLOR MARIE GROGAN

Counselor (Mental Health)