Individual provider Active NPI

Amanda A Doell

  • Mental Health Counselor
  • Bellingham, WA
National Provider Identifier
1669109443
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1215 12TH St Unit 206
Bellingham, WA 98225-7164
Phone
(330) 635-2930
NPI assigned
Aug 2, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 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 WA Primary

Addresses

Primary practice location

1215 12TH St Unit 206
Bellingham, WA 98225-7164

Mailing address

1215 12TH St Unit 206
Bellingham, WA 98225-7164
Phone (330) 635-2930

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240712003582 WA Practitioner - Mental Health Counselor 3375088487 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lydia Place a Nonprofit Corporation Mental Health CurrentSince May 28, 2024 Accepting new patients

Locations

1430 N Garden St
Bellingham, WA 98225
Phone (360) 599-8698

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": "1659398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1669109443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 12TH ST UNIT 206",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982257164",
            "telephone_number": "330-635-2930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 12TH ST UNIT 206",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982257164",
            "telephone_number": "330-635-2930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOELL",
        "first_name": "AMANDA",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-02",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

Verify at the official NPI Registry.