TELEPSYCHIATRIC LOUNGE
NPI 1962020859
Nurse Practitioner - Psychiatric/Mental Health in Mountlake Ter, WA

Active since July 08, 2020
6505 216TH ST SW STE 100, MOUNTLAKE TER, WA 98043(470) 594-2570(470) 275-0775 Get Directions Write a Review

NPPES record last updated: September 28, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 28, 2020, Sep 3, 2020, Jul 8, 2020 (3 updates tracked since 2020).

About Telepsychiatric Lounge NPPES

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

TELEPSYCHIATRIC LOUNGE (NPI 1962020859) is a healthcare organization registered as a psychiatric/mental health in Mountlake Ter, Washington and active in the NPI registry since July 2020. The organization maintains a secondary practice location in Buford and lists Chika O Okem Akwiwu, Nurse Practitoner, as its authorized official.

NPPES Registry Identity

NPI1962020859
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameMATCH HEALTHCARE CONSULTING
Location Address6505 216TH ST SW STE 100Mountlake Ter, WA 98043-2089
Mailing Address3995 Bonnett Creek LnHoschton, GA 30548-6205 · (470) 594-2570
Fax(470) 275-0775
Organization SubpartNo
Authorized OfficialChika O Okem AkwiwuNurse Practitoner · (404) 547-3893
Enumeration DateJuly 8, 2020
Last NPPES UpdateSeptember 28, 20203 updates tracked since enumeration
NPPES CertifiedSeptember 28, 2020
✔ NPI 1962020859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
6505 216TH ST SW STE 100, Mountlake Ter, WA 98043

Other Names 1

Doing Business AsTelepsychiatric Lounge

Secondary Practice Location 1

Location 1115 E Main St # 1021Buford, GA 30518-5727 · Phone (404) 547-3893

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Telepsychiatric Lounge 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 Telepsychiatric Lounge, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1750829123
6505 216TH ST SW STE 100
Mountlake Terrace, WA 98043
(833) 756-8643
✔ PECOS✔ Accepts MedicareSame address

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 Match Healthcare Consulting's NPI number?

The NPI number for Match Healthcare Consulting is 1962020859. It was assigned to this organization in the NPPES registry on July 8, 2020. The provider is doing business as Telepsychiatric Lounge.

Where is Match Healthcare Consulting located?

Match Healthcare Consulting is located at 6505 216th St SW Ste 100, Mountlake Ter, WA 98043. The listed phone number is (470) 594-2570.

What is Match Healthcare Consulting's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Match Healthcare Consulting enrolled in Medicare?

Yes. Match Healthcare Consulting is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Match Healthcare Consulting?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Match Healthcare Consulting. 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.

What insurance does Match Healthcare Consulting accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Match Healthcare Consulting 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 Match Healthcare Consulting was last updated on September 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.