Individual provider Active NPI

Michael Parker, LICSW

  • Mental Health Counselor
  • Bellingham, WA
National Provider Identifier
1407622566
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LW61033832 Issued in WA
Practice address
960 Harris Ave Ste 206
Bellingham, WA 98225-7045
Phone
(360) 734-7310
NPI assigned
Nov 30, 2023
Last updated
Sep 11, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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 LW61033832 WA Primary

Addresses

Primary practice location

960 Harris Ave Ste 206
Bellingham, WA 98225-7045

Mailing address

12 Bellwether Way Ste 220
Bellingham, WA 98225-2914
Phone (360) 734-7310

Other practice location 1

12 Bellwether Way Ste 220
Bellingham, WA 98225-2914
Phone (360) 303-9264

Other practice location 2

4200 Meridian St Ste 201
Bellingham, WA 98226-5592
Phone (360) 734-7310

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

LicenseStateTypeSpecialty
LW61033832WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Diana Jacobs PHD. Licensed Psychologist PS Current Accepting new patients

Locations

12 Bellwether Way
Ste 220
Bellingham, WA 98225
Phone (360) 647-1056

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1701302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1407622566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 BELLWETHER WAY STE 220",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982252914",
            "telephone_number": "360-734-7310",
            "fax_number": "360-647-8336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 HARRIS AVE STE 206",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982257045",
            "telephone_number": "360-734-7310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 Bellwether Way Ste 220",
            "address_purpose": "LOCATION",
            "city": "Bellingham",
            "state": "WA",
            "postal_code": "982252914",
            "country_code": "US",
            "telephone_number": "360-303-9264",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4200 Meridian St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Bellingham",
            "state": "WA",
            "postal_code": "982265592",
            "country_code": "US",
            "telephone_number": "360-734-7310",
            "fax_number": "360-647-8336",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKER",
        "first_name": "MICHAEL",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-11-30",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LW61033832",
            "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 Sep 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.