Active NPI
James Lee Duff, PHD
- Mental Health Counselor
- Bellingham, WA
National Provider Identifier
1336244102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- PY856
- Practice address
- 119N Commercial St 195
Bellingham, WA 98225-4409 - Phone
- (360) 734-7310
- Fax
- (360) 647-8336
- NPI assigned
- Sep 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | PY856 | WA | Primary |
Addresses
Primary practice location
119N Commercial St 195
Bellingham, WA 98225-4409
Mailing address
12 Bellwether Way 220
Bellingham, WA 98225-2914
Phone (360) 734-7310
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7045057 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY856 | WA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bayside Therapy Associates | Mental Health | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445990400000",
"number": "1336244102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 BELLWETHER WAY 220",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982252914",
"telephone_number": "360-734-7310",
"fax_number": "360-641-8336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119N COMMERCIAL ST 195",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982254409",
"telephone_number": "360-734-7310",
"fax_number": "360-647-8336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUFF",
"first_name": "JAMES",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-14",
"last_updated": "2015-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "PY856",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7045057",
"state": "WA"
}
],
"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 Oct 28, 2015; 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.