Organization Active NPI

Westcoast Counseling and Treatment Center

  • Community/Behavioral Health Agency
  • Bellingham, WA
National Provider Identifier
1669502944
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
37 1136 00 Issued in WA
Legal business name
WESTCOAST COUNSELING AND TREATMENT CENTER
Practice address
1200 Dupont St
Suite 1a
Bellingham, WA 98225-3100
Phone
(360) 647-7577
Fax
(360) 617-1424
NPI assigned
Mar 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Linda Ann Waller, CDPNPI 1912265711
Title
Co-Owner
Phone
(360) 647-7577

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
Community/Behavioral Health Agency 251S00000X 37 1136 00 WA Primary

Addresses

Primary practice location

1200 Dupont St
Suite 1a
Bellingham, WA 98225-3100

Mailing address

1200 Dupont St
Suite 1a
Bellingham, WA 98225-3100
Phone (360) 647-7577

Other identifiers 1

IdentifierTypeStateIssuer
1994847MedicaidWA

National Provider Directory

National Provider Directory

Locations

1200 DuPont St
Ste 1A
Bellingham, WA 98225
Phone (360) 207-1613

Practitioners & affiliated clinicians

Practitioners 5

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": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669502944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 DUPONT ST",
            "address_2": "SUITE 1A",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982253100",
            "telephone_number": "360-647-7577",
            "fax_number": "360-617-1424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 DUPONT ST",
            "address_2": "SUITE 1A",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982253100",
            "telephone_number": "360-647-7577",
            "fax_number": "360-617-1424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTCOAST COUNSELING AND TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WALLER",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "360-647-7577",
        "authorized_official_credential": "CDP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WA",
            "license": "37 1136 00",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1994847",
            "state": "WA"
        }
    ],
    "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 Aug 22, 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.