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HEALING AND EMPOWERING LIFE COACHING AND PSYCHOLOGICAL SERVICE
NPI 1699368217
Counselor in Buckley, WA

Active since February 15, 2021
8407 234TH AVE E, BUCKLEY, WA 98321(253) 257-5177 Get Directions Write a Review

NPPES record last updated: May 23, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 23, 2025, Feb 15, 2021 (2 updates tracked since 2021).

About Healing And Empowering Life Coaching And Psychological Service NPPES

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

HEALING AND EMPOWERING LIFE COACHING AND PSYCHOLOGICAL SERVICE (NPI 1699368217) is a healthcare organization registered as a counselor in Buckley, Washington and active in the NPI registry since February 2021. The organization maintains a secondary practice location in Fulton and lists Wendy Pethybridge, Owner, as its authorized official.

NPPES Registry Identity

NPI1699368217
Entity TypeOrganization
Primary Taxonomy101Y00000X
Legal Business NameHEALING AND EMPOWERING LIFE COACHING AND PSYCHOLOGICAL SERVICE
Location Address8407 234TH AVE EBuckley, WA 98321-9432
Mailing AddressPo Box 211Litchfield Park, AZ 85340-0211 · (315) 806-3735 · Fax (315) 546-2406
Phone(253) 257-5177
Organization SubpartNo
Authorized OfficialWendy PethybridgeOwner · (315) 806-3735
Enumeration DateFebruary 15, 2021
Last NPPES UpdateMay 23, 20252 updates tracked since enumeration
NPPES CertifiedMay 22, 2025
✔ NPI 1699368217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
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.
8407 234TH AVE E, Buckley, WA 98321
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Secondary Practice Location 1

Location 1256 S 3rd StFulton, NY 13069-2356 · Phone (253) 257-5177

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Healing And Empowering Life Coaching And Psychological Service is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Healing And Empowering Life Coaching And Psychological Service, which bills Medicare for the services this clinician delivers.

Clinician (1)

Wendy Pethybridge, MA, MS
Mental Health Counselor
NPI 1073052908
17547 W BUCHANAN ST
Goodyear, AZ 85338
(253) 257-5177
✔ PECOS1,075 mi

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 Healing And Empowering Life Coaching And Psychological Service's NPI number?

The NPI number for Healing And Empowering Life Coaching And Psychological Service is 1699368217. It was assigned to this organization in the NPPES registry on February 15, 2021.

Where is Healing And Empowering Life Coaching And Psychological Service located?

Healing And Empowering Life Coaching And Psychological Service is located at 8407 234th Ave E, Buckley, WA 98321. The listed phone number is (253) 257-5177.

What is Healing And Empowering Life Coaching And Psychological Service's specialty?

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

Is Healing And Empowering Life Coaching And Psychological Service enrolled in Medicare?

Yes. Healing And Empowering Life Coaching And Psychological Service is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Healing And Empowering Life Coaching And Psychological Service?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Healing And Empowering Life Coaching And Psychological Service. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Healing And Empowering Life Coaching And Psychological Service was last updated on May 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.