Illahee Home Corp

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

ILLAHEE HOME CORP

Practice address

1155 N State St
Bellingham, WA 98225-5037

Phone

(360) 676-4485

Fax

(360) 714-1294

NPI assigned

Nov 16, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Kelly Frost, LMHC, SUDPNPI 1245788694

Title

President

Phone

(360) 676-4485

Specialties & licenses 13

Addresses

Other identifiers 1

Other names 1

• Clarity Mental Health and Recovery Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Illahee Home Corp

  • Counselor
  • Bellingham, WA
  • NPI 1265982763
  NPPES parent name

Practitioners 19

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

• Kelly Frost, MS, SUDP

  • Addiction (Substance Use Disorder) Counselor
  • Bellingham, WA
  • NPI 1245788694
  Medicare reassignment NPD Authorized official
• Amandeep Kaur Benipal

  • Psychiatric/Mental Health Nurse Practitioner
  • Bellingham, WA
  • NPI 1912589292
  Medicare reassignment NPD
• Gurpal Singh Chahal

  • Psychiatric/Mental Health Nurse Practitioner
  • Bellingham, WA
  • NPI 1306482831
  Medicare reassignment NPD
• Jagpal Chahal, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Bellingham, WA
  • NPI 1659250389
  Medicare reassignment NPD
• Constance Rae Guy

  • Mental Health Counselor
  • Ferndale, WA
  • NPI 1033404058
  Medicare reassignment
• Brenda Kay Kotewa, LPC, NCC, LMHC

  • Mental Health Counselor
  • Bellingham, WA
  • NPI 1205595931
  Medicare reassignment
• Tracee Mullen, LMHC, SUDP

  • Mental Health Counselor
  • Bellingham, WA
  • NPI 1740693092

  Addiction (Substance Use Disorder)

  NPD
• Jeremy Abraham Pyke, APN

  • Family Nurse Practitioner
  • Bellingham, WA
  • NPI 1619485661
  NPD
• Bailey Rahn

  • Addiction (Substance Use Disorder) Counselor
  • Bellingham, WA
  • NPI 1598460826
  NPD
• Shoshana Schrenk

  • Mental Health Counselor
  • Bellingham, WA
  • NPI 1609696509
  NPD
• Max Duane Whipple III, SUDP, AAC

  • Addiction (Substance Use Disorder) Counselor
  • Bellingham, WA
  • NPI 1760964696
  NPD
• Nicole Joann Whipple, OTRL

  • Occupational Therapist
  • Bellingham, WA
  • NPI 1700922580
  NPD

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

{
    "created_epoch": "1289865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736208000000",
    "number": "1124329669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 N STATE ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982255037",
            "telephone_number": "360-676-4485",
            "fax_number": "360-714-1294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 N STATE ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982255037",
            "telephone_number": "360-676-4485",
            "fax_number": "360-714-1294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLAHEE HOME CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-16",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A",
        "authorized_official_last_name": "FROST",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-676-4485",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMHC, SUDP"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2200984",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clarity Mental Health and Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Addiction (Substance Use Disorder) Counselor in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Addiction (Substance Use Disorder) Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.