CHELSEY BUCKHAM
NPI 1639800600
Counselor - Mental Health in Renton, WA

Active since June 21, 2022PECOS Enrolled
14201 SE PETROVITSKY RD STE A3 #280, RENTON, WA 98058(253) 234-7090 Get Directions Write a Review

NPPES record last updated: September 1, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 1, 2025, Jun 19, 2025, Aug 17, 2023 and 1 more (4 updates tracked since 2023).

About Chelsey Buckham NPPES

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

CHELSEY BUCKHAM (NPI 1639800600) is an individual mental health provider in Renton, Washington and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1639800600
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCHELSEY BUCKHAM
Location Address14201 SE PETROVITSKY RD STE A3 #280Renton, WA 98058-8986
Mailing Address14201 Se Petrovitsky Rd Ste A3 #280Renton, WA 98058-8986
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJune 21, 2022
Last NPPES UpdateSeptember 1, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2025
✔ NPI 1639800600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X

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)

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

PECOS PAC ID7517433428
PECOS Enrollment IDI20260417002817
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 Chelsey Buckham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health
2719 E MADISON ST STE 300
Seattle, WA 98112
  • Reassigned Medicare billing, Washington enrollment
  • 12 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.

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 Chelsey Buckham's NPI number?

The NPI number for Chelsey Buckham is 1639800600. It was assigned to this individual provider in the NPPES registry on June 21, 2022.

Where is Chelsey Buckham located?

Chelsey Buckham practices at 14201 SE Petrovitsky Rd Ste A3 #280, Renton, WA 98058. The listed phone number is (253) 234-7090.

What is Chelsey Buckham's specialty?

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

Is Chelsey Buckham enrolled in Medicare?

Yes. Chelsey Buckham is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Chelsey Buckham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Chelsey Buckham reassigns Medicare benefits to Puget Sound Psychotherapy, Ps (Seattle, 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 Chelsey Buckham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Chelsey Buckham accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Chelsey Buckham 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 Chelsey Buckham was last updated on September 1, 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.