Individual provider Active NPI

Joshua P Vander Wiele, LMHCA

  • Counselor
  • Bellingham, WA
National Provider Identifier
1568505824
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
MC61017625 Issued in WA
Practice address
1112 11TH St Ste 301a
Bellingham, WA 98225-6654
Phone
(360) 410-3728
NPI assigned
Feb 15, 2007
Last updated
Oct 25, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X MC61017625 WA Primary
Professional Counselor 101YP2500X C.0600141 OH

Addresses

Primary practice location

1112 11TH St Ste 301a
Bellingham, WA 98225-6654

Mailing address

1112 11TH St Ste 301a
Bellingham, WA 98225-6654
Phone (360) 410-3728

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 22, 2026 through May 22, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MC61017625WAMDCounselor
C.0600141OHMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1568505824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 11TH ST STE 301A",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982256654",
            "telephone_number": "360-410-3728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 11TH ST STE 301A",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982256654",
            "telephone_number": "360-410-3728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDER WIELE",
        "first_name": "JOSHUA",
        "middle_name": "P",
        "credential": "LMHCA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-15",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "MC61017625",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C.0600141",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

Verify at the official NPI Registry.