Organization Active NPI

Pacific Recovery and Healing Center

  • Counselor
  • Bellingham, WA
National Provider Identifier
1639360225
Registry record updated Jun 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
RC00030511 Issued in WA
Legal business name
PACIFIC RECOVERY AND HEALING CENTER
Practice address
1539 Hel Lyn PL
Bellingham, WA 98226-9476
Phone
(360) 739-5381
NPI assigned
Aug 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2008

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

Authorized official

Name
Ms. Janice Edin
Title
Owner
Phone
(360) 739-5381

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X RC00030511 WA Primary

Addresses

Primary practice location

1539 Hel Lyn PL
Bellingham, WA 98226-9476

Mailing address

1539 Hel Lyn PL
Bellingham, WA 98226-9476
Phone (360) 739-5381

Other names 1

  • Pacific Healing Other name

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": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214006400000",
    "number": "1639360225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1539 HEL LYN PL",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982269476",
            "telephone_number": "360-739-5381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1539 HEL LYN PL",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982269476",
            "telephone_number": "360-739-5381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC RECOVERY AND HEALING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2008-06-21",
        "status": "A",
        "authorized_official_last_name": "EDIN",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-739-5381",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "WA",
            "license": "RC00030511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Healing",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jun 21, 2008; 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.