Individual provider Active NPI

Christian Frank Connell, LMHC

  • Mental Health Counselor
  • Vancouver, WA
National Provider Identifier
1609665991
Registry record updated May 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH61252438 Issued in WA
Practice address
2614 Fort Vancouver Way Ste D
Vancouver, WA 98661-3971
Phone
(360) 696-4895
Fax
(360) 696-4044
NPI assigned
May 2, 2025
Last updated
May 2, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH61252438 WA Primary

Addresses

Primary practice location

2614 Fort Vancouver Way Ste D
Vancouver, WA 98661-3971

Mailing address

12225 SE Wiese Rd
Damascus, OR 97089-8354
Phone (971) 404-5123

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

State licenses

LicenseStateTypeSpecialty
LH61252438WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Treatment Services Inc. CurrentSince May 4, 2025 Accepting new patients

Locations

2614 Fort Vancouver Way
Ste D
Vancouver, WA 98661
Phone (360) 696-4895

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1746144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746144000000",
    "number": "1609665991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12225 SE WIESE RD",
            "city": "DAMASCUS",
            "state": "OR",
            "postal_code": "970898354",
            "telephone_number": "971-404-5123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2614 FORT VANCOUVER WAY STE D",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986613971",
            "telephone_number": "360-696-4895",
            "fax_number": "360-696-4044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNELL",
        "first_name": "CHRISTIAN",
        "middle_name": "FRANK",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-05-02",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH61252438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2025; 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.