Individual provider Active NPI

Brian D McClincey, M.A.

  • Mental Health Counselor
  • Bellingham, WA
National Provider Identifier
1275775793
Registry record updated Dec 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH60678050 Issued in WA
Practice address
410 W Bakerview Road
Suite 110, Office 148
Bellingham, WA 98226-9822
Phone
(360) 255-8260
Fax
(360) 734-5298
NPI assigned
Mar 30, 2009
Last updated
Dec 13, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH60678050 WA Primary
Professional Counselor 101YP2500X PC007634 PA

Addresses

Primary practice location

410 W Bakerview Road
Suite 110, Office 148
Bellingham, WA 98226-9822

Mailing address

410 W Bakerview Road
Suite 110, Office 148
Bellingham, WA 98226-7941
Phone (360) 255-8260

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LH60678050WAMDMental Health Counselor
PC007634PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Rivendell Psychological Services Mental Health Current Accepting new patients

Locations

410 W Bakerview Rd
Ste 110
Bellingham, WA 98226
Phone (360) 255-8260

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1238371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639353600000",
    "number": "1275775793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 W BAKERVIEW ROAD",
            "address_2": "SUITE 110, OFFICE 148",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982267941",
            "telephone_number": "360-255-8260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 W BAKERVIEW ROAD",
            "address_2": "SUITE 110, OFFICE 148",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982269822",
            "telephone_number": "360-255-8260",
            "fax_number": "360-734-5298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLINCEY",
        "first_name": "BRIAN",
        "middle_name": "D",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-30",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60678050",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC007634",
            "primary": false
        }
    ],
    "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 Dec 13, 2021; 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.