Individual provider Active NPI

Adrian Cedillo

  • Mental Health Counselor
  • Bellingham, WA
National Provider Identifier
1770181315
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MC61642759 Issued in WA
Practice address
1500 N State St Ste 101
Bellingham, WA 98225-4551
Phone
(360) 676-6177
Fax
(360) 671-3574
NPI assigned
Oct 15, 2020
Last updated
Mar 20, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MC61642759 WA Primary
Student in an Organized Health Care Education/Training Program 390200000X CG61185580 WA

Addresses

Primary practice location

1500 N State St Ste 101
Bellingham, WA 98225-4551

Mailing address

211 Hertel Way
Nooksack, WA 98276-9296
Phone (253) 316-7923

Other practice location 1

103 W Main St
Everson, WA 98247-8217
Phone (360) 788-4228

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

LicenseStateTypeSpecialty
MC61642759WAMDMental Health Counselor
CG61185580WAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Unity Care Northwest CurrentSince Mar 24, 2025 Accepting new patients

Locations

1500 N State St
Ste 101
Bellingham, WA 98225

Interoperability endpoints

  • Direct secure messaging: acedillo782495@direct.ochin.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1602720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1770181315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 HERTEL WAY",
            "city": "NOOKSACK",
            "state": "WA",
            "postal_code": "982769296",
            "telephone_number": "253-316-7923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 N STATE ST STE 101",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254551",
            "telephone_number": "360-676-6177",
            "fax_number": "360-671-3574"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "103 W Main St",
            "address_purpose": "LOCATION",
            "city": "Everson",
            "state": "WA",
            "postal_code": "982478217",
            "country_code": "US",
            "telephone_number": "360-788-4228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CEDILLO",
        "first_name": "ADRIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-15",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC61642759",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "WA",
            "license": "CG61185580",
            "primary": false
        }
    ],
    "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 Mar 20, 2025; 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.