Christoher Konnerup, BA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

2030 Division St
Bellingham, WA 98226-8014

Phone

(360) 676-2020

NPI assigned

Dec 9, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

Practice roles

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.

• Pioneer Human Services

  • Community/Behavioral Health Agency
  • Bellingham, WA
  • NPI 1922307255
  NPD (past)

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

{
    "created_epoch": "1449619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449619200000",
    "number": "1669847125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 DIVISION ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982268014",
            "telephone_number": "360-676-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 DIVISION ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982268014",
            "telephone_number": "360-676-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONNERUP",
        "first_name": "CHRISTOHER",
        "credential": "BA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-12-09",
        "last_updated": "2015-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI ORG",
            "identifier": "1164835047",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Komo Kulshan Counseling PLLC
• Brahma R Konda, MD
• Stephen W Kongs, D.C.
• Brian J Koning, O.D.
• Karli Suzanne Koning
• Alexandra Sarah Kononenko, LMHCA
• Camille Marie Koontz, N.D.
• Maya Koopman, MD
• Taynin Kopanos, NP
• Lynn Ellen Korner, LMP

• 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 Dec 9, 2015; 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.