Mandi Maycumber, CDP, CPC
NPI 1194196709ActiveIndividual· Psychologist· Olympia, WA
Psychologist (CDP, CPC) with Mindful Therapy Group PC, practicing in Olympia, Washington. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1194196709 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CDP, CPC |
| Sole proprietor | No |
| NPI issued | Oct 8, 2015 |
| Last updated in NPPES | Sep 4, 2026 |
| Certified by provider | Sep 4, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | PY70070002 | WA |
| Counselor, Mental Health | 101YM0800X | LH61078329 | WA |
| Counselor, Professional | 101YP2500X | 18786 | CA |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | CP 60498897 | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (WA) |
|---|
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Mental Health Counselor |
Medical group
- Mindful Therapy Group PCMountlake Terrace, WA · 670 clinicians
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All 30 psychologists in Olympia · All psychologists in Washington