Individual provider Active NPI

Marilyn Theresa Bader-Nesse, LMHC

  • Mental Health Counselor
  • Blaine, WA
National Provider Identifier
1144612607
Registry record updated Feb 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH 60161215 Issued in WA
Practice address
435 Martin St
Blaine, WA 98230-4118
Phone
(360) 990-3848
NPI assigned
Feb 20, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2015

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 LH 60161215 WA Primary

Addresses

Primary practice location

435 Martin St
Blaine, WA 98230-4118

Mailing address

1600 Lakeway Dr
Bellingham, WA 98229-5324
Phone (360) 647-8877

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
I20240923001543 WA Practitioner - Mental Health Counselor 2961943501 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Touchstone Behavioral Health, LLCGroup PAC ID 5597022475, 2 clinicians

Practice addresses (Care Compare)

288 Martin St
Blaine, WA 98230-4045

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LH 60161215WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Touchstone Behavioral Health, LLC CurrentSince Jul 10, 2024 Accepting new patients
Touchstone Behavioral Health, LLC Past Accepting new patients

Locations

288 Martin St
Ste 100
Blaine, WA 98230
Phone (360) 788-4228

288 Martin St
#1
Blaine, WA 98230
Phone (360) 788-4228

Organizations & group practices 2

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": "1424390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424390400000",
    "number": "1144612607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 LAKEWAY DR",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982295324",
            "telephone_number": "360-647-8877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 MARTIN ST",
            "city": "BLAINE",
            "state": "WA",
            "postal_code": "982304118",
            "telephone_number": "360-990-3848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADER-NESSE",
        "first_name": "MARILYN",
        "middle_name": "THERESA",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-20",
        "last_updated": "2015-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH 60161215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blaine, WA

Sources for this page

Verify at the official NPI Registry.