Individual provider Active NPI

Elizabeth J Johnson, MED LMHC

  • Mental Health Counselor
  • Bellingham, WA
National Provider Identifier
1740219187
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH00005284 Issued in WA
Practice address
1715 C St
Bellingham, WA 98225
Phone
(360) 647-5358
Fax
(360) 671-1842
NPI assigned
Jun 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 LH00005284 WA Primary

Addresses

Primary practice location

1715 C St
Bellingham, WA 98225

Mailing address

1715 C St
Bellingham, WA 98225
Phone (360) 647-5358

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240116002370 WA Practitioner - Mental Health Counselor 1254647605 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1994
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Associates in Mental HealthGroup PAC ID 1355324815, 14 clinicians

Practice addresses (Care Compare)

1155 N State St
Bellingham, WA 98225-5024
Phone (360) 715-2488

2215 Elm St
Bellingham, WA 98225-2899
Phone (360) 715-2488

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
LH00005284WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Mental Health Mental Health CurrentSince Jan 1, 2024 Accepting new patients

Locations

1155 N State St
Ste 322
Bellingham, WA 98225
Phone (360) 594-7566

1229 Cornwall Ave
Ste 303
Bellingham, WA 98225
Phone (206) 403-8747

1155 N State St
Ste 404
Bellingham, WA 98225

2215 Elm St
Bellingham, WA 98225
Phone (360) 920-2053

1715 C St
Bellingham, WA 98225
Phone (360) 671-2740

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740219187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 C ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "98225",
            "telephone_number": "360-647-5358",
            "fax_number": "360-671-1842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 C ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "98225",
            "telephone_number": "360-647-5358",
            "fax_number": "360-671-1842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ELIZABETH",
        "middle_name": "J",
        "credential": "MED LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00005284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

Verify at the official NPI Registry.