Individual provider Active NPI

Tracee Mullen, LMHC, SUDP

  • Mental Health Counselor
  • Bellingham, WA
National Provider Identifier
1740693092
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH61649510 Issued in WA
Practice address
103 E Holly St Ste 211
Bellingham, WA 98225-4728
Phone
(360) 920-5143
NPI assigned
Jun 4, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X LH61649510 WA Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X CO60368570 WA

Addresses

Primary practice location

103 E Holly St Ste 211
Bellingham, WA 98225-4728

Mailing address

4120 Red Cedar Rd
Blaine, WA 98230-9155
Phone (360) 920-5143

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.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1155 N State St
Suite 522
Bellingham, WA 98225-7067

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CO60368570WAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Illahee Home Corp Addiction (Substance Use Disorder) CurrentSince Mar 3, 2025 Accepting new patients
Illahee Home Corp Addiction (Substance Use Disorder) PastSince Mar 3, 2025 Accepting new patients

Locations

1155 N State St
Ste 522
Bellingham, WA 98225
Phone (360) 376-4485

Organizations & group practices 2

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": "1401840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768176000000",
    "number": "1740693092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4120 RED CEDAR RD",
            "city": "BLAINE",
            "state": "WA",
            "postal_code": "982309155",
            "telephone_number": "360-920-5143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 E HOLLY ST STE 211",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254728",
            "telephone_number": "360-920-5143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLEN",
        "first_name": "TRACEE",
        "credential": "LMHC, SUDP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-04",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH61649510",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CO60368570",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

Verify at the official NPI Registry.