Individual provider Active NPI

Kellie Jeanne Furlan, M.S.

  • Marriage & Family Therapist
  • Bellingham, WA
National Provider Identifier
1477981314
Registry record updated Apr 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LF 60584956 Issued in WA
Practice address
12 Bellwether Way Ste 232a
Bellingham, WA 98225-2959
Phone
(360) 325-1717
NPI assigned
Oct 30, 2013
Last updated
Apr 4, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LF 60584956 WA Primary

Addresses

Primary practice location

12 Bellwether Way Ste 232a
Bellingham, WA 98225-2959

Mailing address

901 E Victor St
Bellingham, WA 98225-1849
Phone (360) 325-1717

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
I20240110001820 WA Practitioner - Marriage and Family Therapist 4183075559 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1010 Harris Ave
Suite 202
Bellingham, WA 98225-7070
Phone (360) 325-1717

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LF 60584956WAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bellingham Family Counseling, PLLC CurrentSince Dec 8, 2023 Accepting new patients

Locations

1010 Harris Ave
Ste 202
Bellingham, WA 98225
Phone (360) 325-1717

Organizations & group practices 2

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": "1383091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680566400000",
    "number": "1477981314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 E VICTOR ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251849",
            "telephone_number": "360-325-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 BELLWETHER WAY STE 232A",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982252959",
            "telephone_number": "360-325-1717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FURLAN",
        "first_name": "KELLIE",
        "middle_name": "JEANNE",
        "name_prefix": "Ms.",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-30",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF 60584956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

Verify at the official NPI Registry.