Individual provider Active NPI

Maureen Sandra Kane

  • Mental Health Counselor
  • Bellingham, WA
National Provider Identifier
1730618307
Registry record updated May 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH.61002601 Issued in WA
Practice address
2805 Woodridge Dr
Bellingham, WA 98229-2311
Phone
(360) 739-2877
NPI assigned
Jun 7, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH.61002601 WA Primary

Addresses

Primary practice location

2805 Woodridge Dr
Bellingham, WA 98229-2311

Mailing address

2805 Woodridge Dr
Bellingham, WA 98229-2311
Phone (360) 739-2877

Other practice location 1

2805 Woodridge Dr
Bellingham, WA 98229-2311
Phone (360) 739-2877

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LH.61002601WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1496793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683244800000",
    "number": "1730618307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2805 WOODRIDGE DR",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982292311",
            "telephone_number": "360-739-2877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 WOODRIDGE DR",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982292311",
            "telephone_number": "360-739-2877"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2805 Woodridge Dr",
            "address_purpose": "LOCATION",
            "city": "Bellingham",
            "state": "WA",
            "postal_code": "982292311",
            "country_code": "US",
            "telephone_number": "360-739-2877",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANE",
        "first_name": "MAUREEN",
        "middle_name": "SANDRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-07",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH.61002601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

Verify at the official NPI Registry.