Mikkadesh Mental Healthcare LLC
NPI 1063120020 · Psychiatric/Mental Health Nurse Practitioner · Puyallup, WA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mikkadesh Mental Healthcare LLC is a Psychiatric/Mental Health Nurse Practitioner organization in Puyallup, WA (NPI 1063120020).
Provider details
- NPI number
- 1063120020
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Veronica Forchu, President/Administrator(801) 649-7584
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Mikkadesh Mental Healthcare LLC
Registry dates
- Enumerated
- 2022-11-09
- Last updated
- 2024-12-10
- Certified
- 2024-12-10
Frequently asked questions
- What is Mikkadesh Mental Healthcare LLC's NPI number?
- Mikkadesh Mental Healthcare LLC's National Provider Identifier (NPI) is 1063120020, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mikkadesh Mental Healthcare LLC?
- Mikkadesh Mental Healthcare LLC is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Mikkadesh Mental Healthcare LLC located?
- Mikkadesh Mental Healthcare LLC's practice location on file with NPPES is 12923 Emerald Ridge Blvd E, Puyallup, WA 98374-8403.
- What is Mikkadesh Mental Healthcare LLC's phone number?
- The practice phone number listed in the NPPES registry for Mikkadesh Mental Healthcare LLC is (801) 649-7584.
- Does Mikkadesh Mental Healthcare LLC accept Medicare?
- Mikkadesh Mental Healthcare LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Mikkadesh Mental Healthcare LLC?
- The authorized official listed on Mikkadesh Mental Healthcare LLC's NPPES record is Veronica Forchu, President/Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mikkadesh Mental Healthcare LLC's NPI active?
- Yes — Mikkadesh Mental Healthcare LLC's NPI (1063120020) is active in the NPPES registry as of the last update on 2024-12-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.