Individual provider Active NPI

Tia Mathews

  • Mental Health Counselor
  • Bellingham, WA
National Provider Identifier
1083064174
Registry record updated Aug 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MC60340920 Issued in WA
Practice address
115 W Magnolia St Ste 203
Bellingham, WA 98225
Phone
(360) 215-3166
NPI assigned
Jun 20, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MC60340920 WA Primary
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

115 W Magnolia St Ste 203
Bellingham, WA 98225

Mailing address

115 W Magnolia St Ste 203
Bellingham, WA 98225-4300
Phone (360) 215-3166

Other practice location 1

2030 Division St
Bellingham, WA 98226-8014
Phone (425) 349-6200

Other practice location 2

115 W Magnolia St Ste 203
Bellingham, WA 98225
Phone (360) 215-3166

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MC60340920WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Under the Willow Tree Counseling PLLC Mental Health CurrentSince Nov 3, 2019 Accepting new patients

Locations

115 W Magnolia St
Ste 203
Bellingham, WA 98225
Phone (360) 215-3166

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": "1466380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564963200000",
    "number": "1083064174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 W MAGNOLIA ST STE 203",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254300",
            "telephone_number": "360-215-3166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 W MAGNOLIA ST STE 203",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "98225",
            "telephone_number": "360-215-3166"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2030 Division St",
            "address_purpose": "LOCATION",
            "city": "Bellingham",
            "state": "WA",
            "postal_code": "982268014",
            "country_code": "US",
            "telephone_number": "425-349-6200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "115 W Magnolia St Ste 203",
            "address_purpose": "LOCATION",
            "city": "Bellingham",
            "state": "WA",
            "postal_code": "98225",
            "country_code": "US",
            "telephone_number": "360-215-3166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATHEWS",
        "first_name": "TIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-20",
        "last_updated": "2019-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC60340920",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.