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KYLENE LU
NPI 1831974583
Counselor - Mental Health in Mountlake Terrace, WA

Active since August 30, 2023PECOS Enrolled
6505 216TH ST SW STE 100, MOUNTLAKE TERRACE, WA 98043(206) 370-4616 Get Directions Write a Review

NPPES record last updated: March 28, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 28, 2025, Aug 30, 2023 (2 updates tracked since 2023).

About Kylene Lu NPPES

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

KYLENE LU (NPI 1831974583) is an individual mental health provider in Mountlake Terrace, Washington, licensed in Washington (MC61549761) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Phoenix, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1831974583
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKYLENE LU
Location Address6505 216TH ST SW STE 100Mountlake Terrace, WA 98043-2089
Mailing Address100 N Howard St Ste WSpokane, WA 99201-0508 · (206) 370-4616
Phone(206) 370-4616
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 30, 2023
Last NPPES UpdateMarch 28, 20252 updates tracked since enumeration
NPPES CertifiedMarch 28, 2025
✔ NPI 1831974583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in WA · MC61549761
6505 216TH ST SW STE 100, Mountlake Terrace, WA 98043
Open in Google Maps ↗

Secondary Practice Location 1

Location 13310 E Hiddenview DrPhoenix, AZ 85048-7264 · Phone (206) 370-4616

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Oregon.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID5890261796
PECOS Enrollment IDI20260417002561
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 Kylene Lu reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mindful Therapy Group PC
Same address
Clinical
6505 216TH ST SW STE 100
Mountlake Terrace, WA 98043
  • Reassigned Medicare billing, Washington enrollment
  • 777 clinicians in this Medicare group
NPI 1316238678 (425) 640-7009

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTINE GALE MEEKER
Counselor (Mental Health)
6505 216TH ST SW STE 100
MOUNTLAKE TERRACE, WA 98043
Snohomish County (425) 640-7009
LYNN HACKSTAFF LICSW
Social Worker (Clinical)
6505 216TH ST SW STE 100
MOUNTLAKE TERRACE, WA 98043
Snohomish County (425) 640-7009
KRISTEN KATHLEEN BUTLER LICSW
Social Worker (Clinical)
6505 216TH ST SW STE 100
MOUNTLAKE TERRACE, WA 98043
Snohomish County (425) 640-7009
AREALE HAMMOND
Counselor (Mental Health)
6505 216TH ST SW STE 100
MOUNTLAKE TERRACE, WA 98043
Snohomish County (425) 678-6463
MADISON STEFANSON
Counselor (Mental Health)
6505 216TH ST SW STE 100
MOUNTLAKE TERRACE, WA 98043
Snohomish County (425) 640-7009
BRIAN JOSEPH NUCKOLS
Counselor (Mental Health)
6505 216TH ST SW STE 100
MOUNTLAKE TERRACE, WA 98043
Snohomish County (425) 678-6463
DR. SONYA RICHARDSON-MCDONALD ED.D
Counselor (Mental Health)
6505 216TH ST SW STE 100
MOUNTLAKE TERRACE, WA 98043
Snohomish County (425) 678-6463
MRS. CRISTEN JANE LUKE LMSW
Social Worker (Clinical)
6505 216TH ST SW STE 100
MOUNTLAKE TERRACE, WA 98043
Snohomish County (425) 640-7009

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 Kylene Lu's NPI number?

The NPI number for Kylene Lu is 1831974583. It was assigned to this individual provider in the NPPES registry on August 30, 2023.

Where is Kylene Lu located?

Kylene Lu practices at 6505 216th St SW Ste 100, Mountlake Terrace, WA 98043. The listed phone number is (206) 370-4616.

What is Kylene Lu's specialty?

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

Is Kylene Lu enrolled in Medicare?

Yes. Kylene Lu is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kylene Lu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kylene Lu reassigns Medicare benefits to Mindful Therapy Group PC (Mountlake Terrace, 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 Kylene Lu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kylene Lu accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Kylene Lu 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 Kylene Lu was last updated on March 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.