MRS. JAELYN WIELBICKI LMHC
NPI 1790004125
Counselor - Mental Health in Sequim, WA
About Mrs. Jaelyn Wielbicki Lmhc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. JAELYN WIELBICKI LMHC (NPI 1790004125) is an individual mental health provider in Sequim, Washington, licensed in Washington (LH60274511) and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2004).
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 (PECOS)
Mrs. Jaelyn Wielbicki Lmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jaelyn Wielbicki reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Sequim, WA 98382
- Reassigned Medicare billing, Washington enrollment
- 38 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 Jaelyn Wielbicki's NPI number?
The NPI number for Jaelyn Wielbicki is 1790004125. It was assigned to this individual provider in the NPPES registry on May 25, 2010.
Where is Jaelyn Wielbicki located?
Jaelyn Wielbicki practices at 376 W Bell St Ste 5, Sequim, WA 98382. The listed phone number is (360) 739-5871.
What is Jaelyn Wielbicki's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Jaelyn Wielbicki enrolled in Medicare?
Yes. Jaelyn Wielbicki is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jaelyn Wielbicki's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jaelyn Wielbicki reassigns Medicare benefits to Jamestown S'klallam Tribe (Sequim, 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 Jaelyn Wielbicki's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jaelyn Wielbicki accept?
Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Jaelyn Wielbicki 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 Jaelyn Wielbicki was last updated on July 18, 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.
# Mrs. Jaelyn Wielbicki, LMHC · NPI 1790004125
Mental Health provider in Sequim, Washington. Individual provider, active in the CMS NPPES registry since May 25, 2010.
## Identity
- **NPI:** 1790004125 (Entity type: Individual)
- **Enumerated:** May 25, 2010
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** LH60274511 (Washington)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 376 W BELL ST STE 5, Sequim, WA 98382-3755
- **Phone:** (360) 739-5871
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Jamestown S'klallam Tribe (NPI 1932957453, Sequim, WA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2004
## Record status
- **NPPES last updated:** July 18, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1790004125) · Data from the CMS NPPES public registry.