Organization Active NPI

Reclaim Counseling Associates LLC

  • Clinical Child & Adolescent Psychologist
  • Lynden, WA
National Provider Identifier
1104477322
Registry record updated Sep 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
Legal business name
RECLAIM COUNSELING ASSOCIATES LLC
Practice address
1610 Grover St Ste B10
Lynden, WA 98264-1539
Phone
(360) 676-7445
Fax
(360) 733-4339
NPI assigned
Sep 28, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2019

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

Authorized official

Name
Dr. Jody Ann Veltkamp, PSY.D.NPI 1447223763
Title
Owner
Phone
(360) 676-7445

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC2200X Primary

Addresses

Primary practice location

1610 Grover St Ste B10
Lynden, WA 98264-1539

Mailing address

1610 Grover St Ste B10
Lynden, WA 98264-1539
Phone (360) 676-7445

National Provider Directory

National Provider Directory

Locations

1610 Grover St
Ste B10
Lynden, WA 98264
Phone (360) 676-7445

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1569628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569628800000",
    "number": "1104477322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 GROVER ST STE B10",
            "city": "LYNDEN",
            "state": "WA",
            "postal_code": "982641539",
            "telephone_number": "360-676-7445",
            "fax_number": "360-733-4339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 GROVER ST STE B10",
            "city": "LYNDEN",
            "state": "WA",
            "postal_code": "982641539",
            "telephone_number": "360-676-7445",
            "fax_number": "360-733-4339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECLAIM COUNSELING ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-28",
        "last_updated": "2019-09-28",
        "status": "A",
        "authorized_official_last_name": "VELTKAMP",
        "authorized_official_first_name": "JODY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-676-7445",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynden, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.