Active NPI
Nathan J Potthoff, LMHC, CN, MHP
- Mental Health Counselor
- Bellingham, WA
National Provider Identifier
1093366809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH61308875
- Practice address
- 220 Unity St
Bellingham, WA 98225-4420 - Phone
- (360) 676-6177
- NPI assigned
- Sep 23, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Nutrition Education Nutritionist | 133NN1002X | NU61087753 | WA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | WA | ||
| Mental Health Counselor | 101YM0800X | LH61308875 | WA | Primary |
Addresses
Primary practice location
220 Unity St
Bellingham, WA 98225-4420
Mailing address
2823 Orleans St
Bellingham, WA 98226-3545
Phone (425) 588-1283
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1616 Cornwall Ave
Bellingham, WA 98225-4648
Phone (360) 676-6177
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LH61308875 | WA | MD | Mental Health Counselor |
| NU61087753 | WA | MD | Nutrition Education Nutritionist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unity Care Northwest | Current | Accepting new patients | |
| Unity Care Northwest | Current | Accepting new patients | |
| Sound | Past | Accepting new patients |
Locations
1616 Cornwall Ave
Ste 205
Bellingham, WA 98225
Phone (360) 656-6177
220 Unity St
Bellingham, WA 98225
Phone (206) 540-7494
1616 Cornwall Ave
Bellingham, WA 98225
Phone (360) 305-3275
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Bellingham, WA
- NPI 1760430532
-
- Federally Qualified Health Center (FQHC)
- Bellingham, WA
- NPI 1316785207
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Tukwila, WA
- NPI 1780774950
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663632000000",
"number": "1093366809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2823 ORLEANS ST",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982263545",
"telephone_number": "425-588-1283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 UNITY ST",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982254420",
"telephone_number": "360-676-6177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POTTHOFF",
"first_name": "NATHAN",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "LMHC, CN, MHP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-09-23",
"last_updated": "2022-09-20",
"certification_date": "2022-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": "WA",
"license": "NU61087753",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "WA",
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH61308875",
"primary": true
}
],
"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 Sep 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.