NPIMap

Organization Active NPI

Gaia Wellness Center PLLC

  • Mental Health Counselor
  • Bellingham, WA
National Provider Identifier
1578156741
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
GAIA WELLNESS CENTER PLLC
Practice address
4945 Mission Road
Bellingham, WA 98226-9528
Phone
(304) 319-0581
Fax
(888) 972-8992
NPI assigned
Feb 18, 2021
Last updated
Sep 11, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Authorized official

Name
Rives Whittle ThorntonNPI 1417356908
Title
Executive Officer
Phone
(360) 209-3391

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary
Psychologist 103T00000X

Addresses

Primary practice location

4945 Mission Road
Bellingham, WA 98226-9528

Mailing address

4945 Mission Rd
Bellingham, WA 98226-9528
Phone (360) 209-3391

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251229001414 WA Part B Supplier - Clinic/Group Practice 8224524368 Receives reassigned benefits from 7 practitioners
Practice locations: Ferndale, WA; Gig Harbor, WA; Everson, WA; Everett, WA; Blaine, WA; Bellingham, WA

National Provider Directory

National Provider Directory

Locations

7630 Birch Bay Dr
#66
Blaine, WA 98230
Phone (360) 226-2572

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1613606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789084800000",
    "number": "1578156741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4945 MISSION RD",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982269528",
            "telephone_number": "360-209-3391",
            "fax_number": "888-972-8992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4945 MISSION ROAD",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982269528",
            "telephone_number": "304-319-0581",
            "fax_number": "888-972-8992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAIA WELLNESS CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-18",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A",
        "authorized_official_last_name": "THORNTON",
        "authorized_official_first_name": "RIVES",
        "authorized_official_middle_name": "WHITTLE",
        "authorized_official_title_or_position": "EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "360-209-3391"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.