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TIMOTHY CARLSON
NPI 1689427361
Counselor - Mental Health in Olympia, WA

Active since April 10, 2024PECOS EnrolledAccepts Medicare Assignment
921 LAKERIDGE WAY SOUTHWEST, OLYMPIA, WA 98502(360) 915-3221 Get Directions Write a Review

NPPES record last updated: April 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1689427361
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameTIMOTHY CARLSON
Location Address921 LAKERIDGE WAY SOUTHWESTOlympia, WA 98502
Mailing Address921 Lakeridge Way Sw Ste 200Olympia, WA 98502-6081 · (360) 915-3221
Phone(360) 915-3221
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateApril 10, 2024
NPPES CertifiedApril 10, 2024
✔ NPI 1689427361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
921 LAKERIDGE WAY SOUTHWEST, Olympia, WA 98502
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID9133644529
PECOS Enrollment IDI20250417003134
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.

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.

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.