Emmaus Counseling Center – Mental Health Counselor, NPI 1548321789
Mental Health Counselor
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Emmaus Counseling Center
12221 Village Center Pl Ste 205
Mukilteo, WA 982756080
Phone: (425) 869-2644
Fax: (425) 867-0930
Type: Location
2105 112th Ave NE Ste 201
Bellevue, WA 980042945
Phone: (425) 869-2644
Fax: (425) 867-0930
Type: Location
10634 E Riverside Dr Ste 100
Bothell, WA 980113751
Phone: (425) 869-2644
Fax: (425) 867-0930
Type: Location
310 3rd Ave NE
Issaquah, WA 980273300
Phone: (425) 869-2644
Fax: (425) 867-0930
Type: Location
2122 112th Ave NE Ste 200
Bellevue, WA 980042967
Phone: (425) 869-2644
Fax: (425) 867-0930
Type: Location
627 5th St Ste 101
Mukilteo, WA 982751580
Phone: (425) 869-2644
Fax: (425) 867-0930
Type: Location
8275 166TH AVE NE STE 200
REDMOND, WA 980526629
Phone: (425) 869-2644
Fax: (425) 867-0930
Type: Mailing
8275 166TH AVE NE STE 102
REDMOND, WA 980526629
Phone: (425) 869-2644
Fax: (425) 867-0930
Type: Location
8290, 165th Avenue Northeast, Redmond, King County, Washington, 98052, United States
REDMOND, WA 980523948
Phone: (425) 869-2644
Fax: (425) 867-0930
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: 2007-01-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-07-31 (313 days ago).
Enrollment records
1
Earliest due date
2025-07-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20070125000054 | O | Clinic/Group Practice | WA | 2025-07-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 98275)
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