Active NPI
Mark S Dooley, M.A.
- Counselor
- Bellingham, WA
National Provider Identifier
1396875019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LH00009203
- Practice address
- 119 N Commercial St Ste 1410
Bellingham, WA 98225-4450 - Phone
- (360) 303-0695
- Fax
- (360) 671-1842
- NPI assigned
- Mar 6, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | LH00009203 | WA | Primary |
Addresses
Primary practice location
119 N Commercial St Ste 1410
Bellingham, WA 98225-4450
Mailing address
119 N Commercial St Ste 1410
Bellingham, WA 98225-4450
Phone (360) 303-0695
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective May 1, 2024 through May 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LH00009203 | WA | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associates in 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.
-
- Mental Health Counselor
- Bellingham, WA
- NPI 1689711319
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673568000000",
"number": "1396875019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 N COMMERCIAL ST STE 1410",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982254450",
"telephone_number": "360-303-0695",
"fax_number": "360-671-1842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 N COMMERCIAL ST STE 1410",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982254450",
"telephone_number": "360-303-0695",
"fax_number": "360-671-1842"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOOLEY",
"first_name": "MARK",
"middle_name": "S",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-06",
"last_updated": "2023-01-13",
"certification_date": "2023-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WA",
"license": "LH00009203",
"primary": true
}
],
"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 Jan 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.