Individual provider Active NPI

Douglas W. Benjamin, LMHC

  • Mental Health Counselor
  • Bellingham, WA
National Provider Identifier
1386796456
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH00005940 Issued in WA
Practice address
1050 Larrabee Ave Ste 204
Bellingham, WA 98225-7367
Phone
(360) 671-8330
Fax
(360) 734-5471
NPI assigned
Jan 17, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH00005940 WA Primary

Addresses

Primary practice location

1050 Larrabee Ave Ste 204
Bellingham, WA 98225-7367

Mailing address

1050 Larrabee Ave Ste 204
Bellingham, WA 98225-7367
Phone (360) 671-8330

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240130001952 WA Practitioner - Mental Health Counselor 3173976800 Practice locations: Bellingham, WA

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3534 Bartlett St
Bellingham, WA 98226-8632
Phone (360) 671-8330

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386796456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 LARRABEE AVE STE 204",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982257367",
            "telephone_number": "360-671-8330",
            "fax_number": "360-734-5471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 LARRABEE AVE STE 204",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982257367",
            "telephone_number": "360-671-8330",
            "fax_number": "360-734-5471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENJAMIN",
        "first_name": "DOUGLAS",
        "middle_name": "W.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00005940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

Verify at the official NPI Registry.