Jennifer Florence Lydia Hearidge, MA LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH60159915 Issued in WA

Practice address

3150 Orleans St BLDG B
Bellingham, WA 98226-9997

Phone

(360) 305-3660

Fax

(360) 320-8540

NPI assigned

Aug 25, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jennifer Florence Lydia Tietz Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768953600000",
    "number": "1669589461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30706",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982282706",
            "telephone_number": "360-305-3660",
            "fax_number": "360-320-8540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 ORLEANS ST BLDG B",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982269997",
            "telephone_number": "360-305-3660",
            "fax_number": "360-320-8540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEARIDGE",
        "first_name": "JENNIFER",
        "middle_name": "FLORENCE LYDIA",
        "credential": "MA LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60159915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "TIETZ",
            "middle_name": "FLORENCE LYDIA",
            "credential": "MA LMHC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Mental Health Counselor in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2026; 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.