Active NPI
Heather Jean Vredevoogd
- Mental Health Counselor
- Bellingham, WA
National Provider Identifier
1730472853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MC60210760
- Practice address
- 1616 Cornwall Ave
Ste 205
Bellingham, WA 98225-4648 - Phone
- (360) 676-6177
- NPI assigned
- May 23, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MC60210760 | WA | Primary |
Addresses
Primary practice location
1616 Cornwall Ave
Ste 205
Bellingham, WA 98225-4648
Mailing address
1616 Cornwall Ave
Ste 205
Bellingham, WA 98225-4648
Phone (360) 676-6177
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MC60210760 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343865600000",
"number": "1730472853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1616 CORNWALL AVE",
"address_2": "STE 205",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982254648",
"telephone_number": "360-676-6177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1616 CORNWALL AVE",
"address_2": "STE 205",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982254648",
"telephone_number": "360-676-6177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VREDEVOOGD",
"first_name": "HEATHER",
"middle_name": "JEAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-23",
"last_updated": "2012-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "MC60210760",
"primary": true
}
],
"identifiers": [],
"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 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.