Individual provider Active NPI

Heather M Cavaness Brown, M.A., L.M.H.C.

  • Counseling Psychologist
  • Bellingham, WA
National Provider Identifier
1558545814
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
LH60160402 Issued in WA
Practice address
1151 Ellis St Ste 206
Bellingham, WA 98225-5203
Phone
(360) 255-1787
NPI assigned
Dec 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X LH60160402 WA Primary

Addresses

Primary practice location

1151 Ellis St Ste 206
Bellingham, WA 98225-5203

Mailing address

90 Polo Park Dr
Bellingham, WA 98229-7715
Phone (360) 255-1787

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LH60160402WAMDCounseling Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1558545814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 POLO PARK DR",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982297715",
            "telephone_number": "360-255-1787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 ELLIS ST STE 206",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982255203",
            "telephone_number": "360-255-1787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVANESS BROWN",
        "first_name": "HEATHER",
        "middle_name": "M",
        "credential": "M.A., L.M.H.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-21",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "WA",
            "license": "LH60160402",
            "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 Jul 21, 2022; 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.