Organization Active NPI

Plum Wellness Collective PLLC

  • Marriage & Family Therapist
  • Bellingham, WA
National Provider Identifier
1609597277
Registry record updated Sep 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
PLUM WELLNESS COLLECTIVE PLLC
Practice address
115 W Magnolia St Ste 209
Bellingham, WA 98225-4300
Phone
(360) 763-0336
Fax
(360) 215-8981
NPI assigned
Sep 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2022

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

Authorized official

Name
Dorcas Nung, LMFT
Title
Owner
Phone
(360) 763-0336

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

115 W Magnolia St Ste 209
Bellingham, WA 98225-4300

Mailing address

115 W Magnolia St Ste 209
Bellingham, WA 98225-4300
Phone (360) 763-0336

Other identifiers 1

IdentifierTypeStateIssuer
271965109MedicaidWA

National Provider Directory

National Provider Directory

Locations

115 W Magnolia St
Ste 209
Bellingham, WA 98225
Phone (253) 987-6799

NPI Registry JSON

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662940800000",
    "number": "1609597277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 W MAGNOLIA ST STE 209",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254300",
            "telephone_number": "360-763-0336",
            "fax_number": "360-215-8981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 W MAGNOLIA ST STE 209",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254300",
            "telephone_number": "360-763-0336",
            "fax_number": "360-215-8981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLUM WELLNESS COLLECTIVE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-12",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-11",
        "status": "A",
        "authorized_official_last_name": "NUNG",
        "authorized_official_first_name": "DORCAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-763-0336",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "271965109",
            "state": "WA"
        }
    ],
    "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 12, 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.