Active NPI
Brian D McClincey, M.A.
- Mental Health Counselor
- Bellingham, WA
National Provider Identifier
1275775793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH60678050
- 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, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| LH60678050 | WA | MD | Mental Health Counselor |
| PC007634 | PA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New 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.