Individual provider Active NPI

Kendall Shea Cline, MA, NCC, LMHC

  • Mental Health Counselor
  • Bellingham, WA
National Provider Identifier
1124640206
Registry record updated Mar 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MHC.LH.61163635 Issued in WA
Practice address
2923 Victor St
Bellingham, WA 98225-2251
Phone
(360) 223-0839
NPI assigned
May 12, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MHC.LH.61163635 WA Primary

Addresses

Primary practice location

2923 Victor St
Bellingham, WA 98225-2251

Mailing address

2923 Victor St
Bellingham, WA 98225-2251
Phone (360) 223-0839

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 9, 2024 through Jan 9, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
MHC.LH.61163635WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Astra Counseling, PLLC CurrentSince May 16, 2021 Accepting new patients

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": "1589241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647907200000",
    "number": "1124640206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2923 VICTOR ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982252251",
            "telephone_number": "360-223-0839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2923 VICTOR ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982252251",
            "telephone_number": "360-223-0839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLINE",
        "first_name": "KENDALL",
        "middle_name": "SHEA",
        "name_prefix": "Ms.",
        "credential": "MA, NCC, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-12",
        "last_updated": "2022-03-22",
        "certification_date": "2021-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MHC.LH.61163635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

Verify at the official NPI Registry.