Organization Active NPI

Washington Family Support Services

  • Behavior Analyst
  • Bellingham, WA
National Provider Identifier
1215683735
Registry record updated Mar 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
WASHINGTON FAMILY SUPPORT SERVICES
Practice address
4152 Meridian St # 105-146
Bellingham, WA 98226-5598
Phone
(360) 348-6414
NPI assigned
Feb 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2022

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

Authorized official

Name
Heather Dorn
Title
President
Phone
(360) 348-6414

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary
Developmentally Disabled Services Day Training Agency 251C00000X
Respite Care 385H00000X

Addresses

Primary practice location

4152 Meridian St # 105-146
Bellingham, WA 98226-5598

Mailing address

4152 Meridian St # 105-146
Bellingham, WA 98226-5598
Phone (360) 348-6414

Other identifiers 1

IdentifierTypeStateIssuer
NAOtherBEHAVIORAL HEALTH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address heather@washingtonfamilysupportservices.com Direct

National Provider Directory

National Provider Directory

Locations

4152 Meridian St
Bellingham, WA 98226
Phone (360) 348-6414

Practitioners & affiliated clinicians

Practitioners 5

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": "1645574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647302400000",
    "number": "1215683735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4152 MERIDIAN ST # 105-146",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982265598",
            "telephone_number": "360-348-6414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4152 MERIDIAN ST # 105-146",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982265598",
            "telephone_number": "360-348-6414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON FAMILY SUPPORT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-23",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A",
        "authorized_official_last_name": "DORN",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-348-6414"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIORAL HEALTH",
            "identifier": "NA",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "heather@washingtonfamilysupportservices.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4152 Meridian St # 105-146",
            "city": "Bellingham",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982265598",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Mar 15, 2022; 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.