Organization Active NPI

Wellsource Counseling LLC

  • Mental Health Counselor
  • Bellingham, WA
National Provider Identifier
1619495132
Registry record updated Mar 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH60372271 Issued in WA
Legal business name
WELLSOURCE COUNSELING LLC
Practice address
1155 N State St Ste 616
Bellingham, WA 98225-5024
Phone
(253) 234-7046
NPI assigned
Sep 5, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2020

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

Authorized official

Name
Emily Sue Smith, LMHCNPI 1225347818
Title
Licensed Mental Health Counselor
Phone
(253) 820-0796

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X LH60372271 WA Primary

Addresses

Primary practice location

1155 N State St Ste 616
Bellingham, WA 98225-5024

Mailing address

1155 N State St Ste 616
Bellingham, WA 98225-5024
Phone (253) 234-7046

Other practice location 1

5425 Rainier Ave S Ste A
Seattle, WA 98118-2455
Phone (253) 234-7046

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1504569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585094400000",
    "number": "1619495132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 N STATE ST STE 616",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982255024",
            "telephone_number": "253-234-7046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 N STATE ST STE 616",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982255024",
            "telephone_number": "253-234-7046"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5425 Rainier Ave S Ste A",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981182455",
            "country_code": "US",
            "telephone_number": "253-234-7046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WELLSOURCE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-05",
        "last_updated": "2020-03-25",
        "certification_date": "2020-03-25",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "LICENSED MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "253-820-0796",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60372271",
            "primary": true
        }
    ],
    "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 Mar 25, 2020; 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.