Individual provider Active NPI

Keith Poynter

  • Mental Health Counselor
  • Bellingham, WA
National Provider Identifier
1003065053
Registry record updated Nov 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH60067868 Issued in WA
Practice address
2530 Kwina Rd
Bellingham, WA 98226-9278
Phone
(360) 384-2330
Fax
(360) 384-3218
NPI assigned
Sep 15, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH60067868 WA Primary

Addresses

Primary practice location

2530 Kwina Rd
Bellingham, WA 98226-9278

Mailing address

2530 Kwina Rd
Bellingham, WA 98226-9278
Phone (360) 384-2330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240520002377 WA Practitioner - Mental Health Counselor 4486096690 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2005
Medicare assignment
May accept Medicare assignment
Group practices
Associates in Mental HealthGroup PAC ID 1355324815, 14 clinicians

Practice addresses (Care Compare)

1209 11TH St
Suite 4
Bellingham, WA 98225-7000
Phone (360) 715-2488

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LH60067868WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Mental Health Mental Health CurrentSince Mar 23, 2024 Accepting new patients

Locations

1155 N State St
Ste 404
Bellingham, WA 98225

1209 11th St
Ste 4
Bellingham, WA 98225
Phone (360) 671-5562

2215 Elm St
Bellingham, WA 98225
Phone (360) 920-2053

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1221436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288915200000",
    "number": "1003065053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2530 KWINA RD",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982269278",
            "telephone_number": "360-384-2330",
            "fax_number": "360-384-3218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 KWINA RD",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982269278",
            "telephone_number": "360-384-2330",
            "fax_number": "360-384-3218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POYNTER",
        "first_name": "KEITH",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-15",
        "last_updated": "2010-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60067868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

Verify at the official NPI Registry.