Individual provider Active NPI

Nathan J Potthoff, LMHC, CN, MHP

  • Mental Health Counselor
  • Bellingham, WA
National Provider Identifier
1093366809
Registry record updated Sep 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH61308875 Issued in WA
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

Updated by the provider on Sep 20, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240102003421 WA Practitioner - Mental Health Counselor 0345690442 Reassigns benefits to 1 organization

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
Unity Care NorthwestGroup PAC ID 7911897699, 39 clinicians

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

LicenseStateTypeSpecialty
LH61308875WAMDMental Health Counselor
NU61087753WAMDNutrition Education Nutritionist

Practice roles

OrganizationSpecialtyStatusNew patients
Unity Care Northwest CurrentSince Jan 1, 2024 Accepting new patients
Unity Care Northwest CurrentSince Jan 1, 2024 Accepting new patients
Sound PastSince Oct 23, 2020 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.

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

Verify at the official NPI Registry.