Individual provider Active NPI

Jaymie L Johnston, MS

  • Mental Health Counselor
  • Bellingham, WA
National Provider Identifier
1760639587
Registry record updated Jun 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH60749504 Issued in WA
Practice address
1329 Lincoln St Ste 1
Bellingham, WA 98229-6279
Phone
(360) 389-3064
Fax
(360) 647-6719
NPI assigned
Aug 22, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Social Worker 104100000X
Case Manager/Care Coordinator 171M00000X
Mental Health Counselor 101YM0800X LH60749504 WA Primary

Addresses

Primary practice location

1329 Lincoln St Ste 1
Bellingham, WA 98229-6279

Mailing address

1329 Lincoln St Ste 1
Bellingham, WA 98229-6279
Phone (360) 389-3064

Other practice location 1

609 N Shore Dr
Bellingham, WA 98226-4414
Phone (360) 676-6000

Other names 1

  • Jaymie L Chamberlin Other name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LH60749504WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Whatcom Residential & Treatment Center Mental Health PastSince Oct 27, 2007 Accepting new patients
Lake Whatcom Residential & Treatment Center Past Accepting new patients

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": "1219363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560297600000",
    "number": "1760639587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1329 LINCOLN ST STE 1",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982296279",
            "telephone_number": "360-389-3064",
            "fax_number": "360-647-6719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1329 LINCOLN ST STE 1",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982296279",
            "telephone_number": "360-389-3064",
            "fax_number": "360-647-6719"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "609 N Shore Dr",
            "address_purpose": "LOCATION",
            "city": "Bellingham",
            "state": "WA",
            "postal_code": "982264414",
            "country_code": "US",
            "telephone_number": "360-676-6000",
            "fax_number": "360-676-6001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "JAYMIE",
        "middle_name": "L",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-22",
        "last_updated": "2019-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60749504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAYMIE",
            "last_name": "CHAMBERLIN",
            "middle_name": "L",
            "credential": "BA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jun 12, 2019; 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.