Kelly Frost, MS, SUDP

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

60545681 Issued in WA

Practice address

1155 N State St
Bellingham, WA 98225-5037

Phone

(360) 676-4485

Fax

(360) 714-1294

NPI assigned

Sep 14, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Illahee Home Corp

  • Addiction (Substance Use Disorder) Counselor
  • Bellingham, WA
  • NPI 1124329669
  Medicare reassignment NPD Authorized official
• Illahee Home Corp

  • Counselor
  • Bellingham, WA
  • NPI 1265982763

  Addiction (Substance Use Disorder)

  NPD Authorized official

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

{
    "created_epoch": "1473811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672099200000",
    "number": "1245788694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 N STATE ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982255014",
            "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": [
        {
            "address_1": "1130 N State St",
            "address_purpose": "LOCATION",
            "city": "Bellingham",
            "state": "WA",
            "postal_code": "982255014",
            "country_code": "US",
            "telephone_number": "360-676-4485",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FROST",
        "first_name": "KELLY",
        "name_prefix": "Mr.",
        "credential": "MS, SUDP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-14",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "60545681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mitch Friedman, SUDPT
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• Kalab Blake Frisby, MPA, MSW, LICSW
• Amy Fritsch, LMFT
• Jaxon Frodesen
• Melia Fry
• Adam Edward Fryer, LSWAIC
• Xing Fu, DDS
• Fuhrmeister Chiropractic, P.S.
• Kurt Alan Fuhrmeister, D.C.

• 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 Dec 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.