MYCHELLE WICK – Professional Counselor, NPI 1639720592

MYCHELLE WICK is a healthcare provider. based in Burien, Washington. specializing in MENTAL HEALTH COUNSELOR. The NPI Number for MYCHELLE WICK is 1639720592

Main info

Female
Sole Proprietor
6 Years Of Experience
Name
MYCHELLE WICK
NPI
1639720592
Phone
(586) 405-6647
Address
1210 SW 136TH ST
Enumeration Date
23 September 2019
Last Update Date
28 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2020 (6 years ago)
PAC ID
4082122957
Professional Enrollment ID
I20250801002788
Address ID
WA982589750LA1219XSEXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness85
Years active:6State licenses:0Digital endpointsOther names

1,452 MENTAL HEALTH COUNSELOR in WA

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Provider Addresses for MYCHELLE WICK

  • King County Public Health - Primary Care, 1210, Southwest 136th Street, Alturas @ Burien, Burien, King County, Washington, 98146-3169, United States

    BURIEN, WA 981661214

    Phone: (586) 405-6647

    Type: Mailing

  • 16201 25TH AVE W

    LYNNWOOD, WA 980872520

    Phone: (586) 405-6647

    Type: Mailing

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: 2025-08-01

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
I20250801002788IMental 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 98166)

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Reviews

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Frequently asked questions

What unique ID ties claims to MYCHELLE WICK?
NPI 1639720592 is assigned to MYCHELLE WICK under the national enumeration system.
Does this profile mean MYCHELLE WICK is currently active?
Yes — MYCHELLE WICK appears active in the national provider directory.
What kind of provider is MYCHELLE WICK?
The page reflects Professional Counselor for MYCHELLE WICK. Clinical services aligned with this taxonomy classification.
Where is MYCHELLE WICK's primary listing?
We display Burien, Washington because that is what the record indicates for MYCHELLE WICK.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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