Deepwater Wellness Mental Health Counseling and Art Therapy PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

DEEPWATER WELLNESS MENTAL HEALTH COUNSELING AND ART THERAPY PLLC

Practice address

1206 E North St
Bellingham, WA 98226-4640

Phone

(970) 426-9862

NPI assigned

Oct 27, 2022

Organization subpart

No

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

Authorized official

Name

Kelly L Lynch, LMHC, ATR-P, MANPI 1003391566

Title

Owner/Therapist

Phone

(970) 426-9862

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelly Lucille Lynch, LMHC, ATR-P

  • Mental Health Counselor
  • Bellingham, WA
  • NPI 1003391566
  NPD Authorized official
• Zoe Claire Matthews, LMHC

  • Mental Health Counselor
  • Bellingham, WA
  • NPI 1609589605
  NPD

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

{
    "created_epoch": "1666828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666828800000",
    "number": "1700503901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 E NORTH ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982264640",
            "telephone_number": "970-426-9862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 E NORTH ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982264640",
            "telephone_number": "970-426-9862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEEPWATER WELLNESS MENTAL HEALTH COUNSELING AND ART THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-27",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-10",
        "status": "A",
        "authorized_official_last_name": "LYNCH",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "970-426-9862",
        "authorized_official_credential": "LMHC, ATR-P, MA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NON-MEDICARE",
            "identifier": "61078648",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kelly@deepwaterwellness.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1206 E North St",
            "city": "Bellingham",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982264640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Angela Kay Decker, LMT,MMP
• Joanne Decker, OTR/L
• Tamara C Dee, LICSW
• Jessica Faith Deem
• Deena Rathkamp PHD PLLC
• Tom Defigueiredo, O.D.
• Maureen Catherine Deger, PH.D.
• James C Degolier
• Veronica Degolier
• Daljit Dehal

• 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 Oct 27, 2022; 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.