Individual provider Active NPI

Mark S Dooley, M.A.

  • Counselor
  • Bellingham, WA
National Provider Identifier
1396875019
Registry record updated Jan 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LH00009203 Issued in WA
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

Updated by the provider on Jan 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
LH00009203WAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Mental Health PastSince Jan 15, 2023 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": "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

Verify at the official NPI Registry.