Individual provider Active NPI

Laurel Watjen, LMHC

  • Mental Health Counselor
  • Bellingham, WA
National Provider Identifier
1639617319
Registry record updated Jul 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH60997245 Issued in WA
Practice address
214 N Commercial St Ste a
Bellingham, WA 98225-4410
Phone
(360) 389-2442
Fax
(360) 746-0995
NPI assigned
Feb 2, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2022

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 LH60997245 WA Primary

Addresses

Primary practice location

214 N Commercial St Ste a
Bellingham, WA 98225-4410

Mailing address

5703 4TH Ave Unit 132
Ferndale, WA 98248-4006
Phone (360) 389-2442

Other identifiers 1

IdentifierTypeStateIssuer
2163682MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 11, 2025 through Jul 11, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LH60997245WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pioneer Human Services Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1485993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659052800000",
    "number": "1639617319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5703 4TH AVE UNIT 132",
            "city": "FERNDALE",
            "state": "WA",
            "postal_code": "982484006",
            "telephone_number": "360-389-2442",
            "fax_number": "360-746-0995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 N COMMERCIAL ST STE A",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254410",
            "telephone_number": "360-389-2442",
            "fax_number": "360-746-0995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATJEN",
        "first_name": "LAUREL",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-02",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60997245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2163682",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

Verify at the official NPI Registry.