TIMOTHY CARLSON
NPI 1689427361
Counselor - Mental Health in Olympia, WA
About Timothy Carlson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TIMOTHY CARLSON (NPI 1689427361) is an individual mental health provider in Olympia, Washington and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Timothy Carlson is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Timothy Carlson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lacey, WA 98516
- Reassigned Medicare billing, Washington enrollment
- 18 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 Timothy Carlson's NPI number?
The NPI number for Timothy Carlson is 1689427361. It was assigned to this individual provider in the NPPES registry on April 10, 2024.
Where is Timothy Carlson located?
Timothy Carlson practices at 921 Lakeridge Way Southwest, Olympia, WA 98502. The listed phone number is (360) 915-3221.
What is Timothy Carlson's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Timothy Carlson enrolled in Medicare?
Yes. Timothy Carlson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Timothy Carlson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Carlson reassigns Medicare benefits to Northwest Therapy Group PLLC (Lacey, 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 Timothy Carlson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Timothy Carlson accept?
Health plans from Ambetter Health, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Timothy Carlson 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 Timothy Carlson was last updated on April 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Timothy Carlson · NPI 1689427361
Mental Health provider in Olympia, Washington. Individual provider, active in the CMS NPPES registry since April 10, 2024.
## Identity
- **NPI:** 1689427361 (Entity type: Individual)
- **Enumerated:** April 10, 2024
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 921 LAKERIDGE WAY SOUTHWEST, Olympia, WA 98502
- **Phone:** (360) 915-3221
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Northwest Therapy Group PLLC (NPI 1497372460, Lacey, WA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** April 10, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1689427361) · Data from the CMS NPPES public registry.