Organization Active NPI

Full Contact Recovery Support Services

Doing business as Contact Counseling Recovery Services

  • Community/Behavioral Health Agency
  • Bellingham, WA
National Provider Identifier
1578214508
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
FULL CONTACT RECOVERY SUPPORT SERVICES
Doing business as
Contact Counseling Recovery Services
Practice address
316 E McLeod Rd
Suite 102B
Bellingham, WA 98226-6491
Phone
(360) 671-3277
Fax
(360) 733-9499
NPI assigned
Jan 11, 2022
Last updated
Oct 23, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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

Authorized official

Name
Ms. Melissa J Ledford, SUDPTNPI 1104547660
Title
RCM
Phone
(360) 393-7970

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Addiction (Substance Use Disorder) Counselor 101YA0400X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

316 E McLeod Rd
Suite 102B
Bellingham, WA 98226-6491

Mailing address

316 E McLeod Rd
Suite 102B
Bellingham, WA 98226-6491
Phone (360) 671-3277

Other identifiers 1

IdentifierTypeStateIssuer
BHA.FS.61179158MedicaidWA

Other names 1

  • Contact Counseling Recovery Services Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D2344118Contact Counseling Recovery Services316 E McLeod Rd Ste 102B, Bellingham, WA 98226Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Locations

316 E McLeod Rd
Ste 102B
Bellingham, WA 98226
Phone (360) 389-8856

Practitioners & affiliated clinicians

Practitioners 6

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": "1641859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698019200000",
    "number": "1578214508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 E MCLEOD RD",
            "address_2": "SUITE 102B",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982266491",
            "telephone_number": "360-671-3277",
            "fax_number": "360-733-9499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 E MCLEOD RD",
            "address_2": "SUITE 102B",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982266491",
            "telephone_number": "360-671-3277",
            "fax_number": "360-733-9499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL CONTACT RECOVERY SUPPORT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-11",
        "last_updated": "2023-10-23",
        "certification_date": "2023-06-27",
        "status": "A",
        "authorized_official_last_name": "LEDFORD",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "RCM",
        "authorized_official_telephone_number": "360-393-7970",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "SUDPT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "BHA.FS.61179158",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Contact Counseling Recovery Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Contact Counseling Recovery Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.