Organization Active NPI

Kelsey Karolyn Counseling PLLC

  • Mental Health Counselor
  • Bellingham, WA
National Provider Identifier
1164200531
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
KELSEY KAROLYN COUNSELING PLLC
Practice address
1200 Old Fairhaven Pkwy Ste 203
Bellingham, WA 98225-7446
Phone
(206) 380-9342
NPI assigned
Sep 18, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

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

Authorized official

Name
Kelsey Harisiades, LMHCNPI 1902345135
Title
Owner
Phone
(206) 380-9342

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1200 Old Fairhaven Pkwy Ste 203
Bellingham, WA 98225-7446

Mailing address

1050 Larrabee Ave Ste 104 PMB 758
Bellingham, WA 98225
Phone (206) 380-9342

National Provider Directory

National Provider Directory

Locations

1200 Old Fairhaven Pkwy
Ste 203
Bellingham, WA 98225
Phone (206) 380-9342

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": "1694995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694995200000",
    "number": "1164200531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 LARRABEE AVE STE 104 PMB 758",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "98225",
            "telephone_number": "206-380-9342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 OLD FAIRHAVEN PKWY STE 203",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982257446",
            "telephone_number": "206-380-9342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELSEY KAROLYN COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-18",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A",
        "authorized_official_last_name": "HARISIADES",
        "authorized_official_first_name": "KELSEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-380-9342",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; 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.