MS. MARY BLAINE ATWATER (LMHC) – Mental Health Counselor, NPI 1386303048

MS. MARY BLAINE ATWATER (LMHC) is a healthcare provider. based in Greenbank, Washington. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LMHC. They hold a License No. LH61218033 (WA). The NPI Number for MS. MARY BLAINE ATWATER (LMHC) is 1386303048

Main info

Female
Sole Proprietor
25 Years Of Experience
Accepts Medicare Assignment
Name
MS. MARY BLAINE ATWATER (LMHC)
NPI
1386303048
Phone
(360) 320-2949
Address
3745 RESORT ROAD
Enumeration Date
9 December 2021
Last Update Date
9 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3602534912
Graduation Year
2001 (25 years ago)
PAC ID
5991141152
Group Practice PAC ID
7719032226
Professional Enrollment ID
I20240311000082
Address ID
WA986623721VA9340XSTXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

1,452 MENTAL HEALTH COUNSELOR in WA

Provider Addresses for MS. MARY BLAINE ATWATER (LMHC)

  • 3745 RESORT ROAD

    UNIT D

    GREENBANK, WA 98253

    Phone: (360) 320-2949

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-03-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240311000082IMental Health CounselorWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98253)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7719032226View full group profile
NameSpecialtyState
Clinical PsychologistWA
Clinical PsychologistWA
Clinical PsychologistWA
Clinical PsychologistHI
-WA
Clinical PsychologistFL
Clinical PsychologistWA
-AZ
-WA
Clinical PsychologistWA

Reviews

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Frequently asked questions

What number should I use to identify MS. MARY BLAINE ATWATER (LMHC) for billing?
Administrative and clinical systems typically use NPI 1386303048 for MS. MARY BLAINE ATWATER (LMHC).
Is MS. MARY BLAINE ATWATER (LMHC) currently accepting referrals based on NPI status?
Registry metadata lists MS. MARY BLAINE ATWATER (LMHC) as active.
How should patients interpret MS. MARY BLAINE ATWATER (LMHC)'s specialty?
The extract shows Mental Health Counselor for MS. MARY BLAINE ATWATER (LMHC). Clinical services aligned with this taxonomy classification.
Which community is linked to MS. MARY BLAINE ATWATER (LMHC)?
MS. MARY BLAINE ATWATER (LMHC) shows a connection to Greenbank, Washington in registry-derived data.
Who maintains MS. MARY BLAINE ATWATER (LMHC)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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