Active NPI
Frederick Charles Bellin, BACHELORS
- Mental Health Counselor
- Mukilteo, WA
National Provider Identifier
1356415293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- CG60764058
- Practice address
- 10710 Mukilteo Speedway
Mukilteo, WA 98275-5021 - Phone
- (425) 349-8888
- NPI assigned
- Nov 20, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | RC00048151 | WA | |
| Mental Health Counselor | 101YM0800X | CG60764058 | WA | Primary |
Addresses
Primary practice location
10710 Mukilteo Speedway
Mukilteo, WA 98275-5021
Mailing address
218 Main St Ste 371
Kirkland, WA 98033-6108
Phone (425) 214-3480
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RC00048151 | WA | MD | Counselor |
| CG60764058 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699574400000",
"number": "1356415293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "218 MAIN ST STE 371",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980336108",
"telephone_number": "425-214-3480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10710 MUKILTEO SPEEDWAY",
"city": "MUKILTEO",
"state": "WA",
"postal_code": "982755021",
"telephone_number": "425-349-8888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELLIN",
"first_name": "FREDERICK",
"middle_name": "CHARLES",
"name_prefix": "Mr.",
"credential": "BACHELORS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-20",
"last_updated": "2023-11-10",
"certification_date": "2023-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WA",
"license": "RC00048151",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "CG60764058",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mukilteo, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.