Organization Active NPI

Mind Body Integrative Therapy, PLLC

  • Mental Health Counselor
  • Bellingham, WA
National Provider Identifier
1780080705
Registry record updated Nov 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH00011196 Issued in WA
Legal business name
MIND BODY INTEGRATIVE THERAPY, PLLC
Practice address
2215 Elm St
Bellingham, WA 98225-2899
Phone
(360) 220-9524
NPI assigned
Nov 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2014

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

Authorized official

Name
Cynthia Paffumi, LMHC
Title
Owner
Phone
(360) 319-3350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X LH00011196 WA Primary

Addresses

Primary practice location

2215 Elm St
Bellingham, WA 98225-2899

Mailing address

2950 Newmarket St
Num 101-277
Bellingham, WA 98226-3872

National Provider Directory

National Provider Directory

Locations

2950 Newmarket St
#101277
Bellingham, WA 98226

NPI Registry JSON

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

{
    "created_epoch": "1416268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416268800000",
    "number": "1780080705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 NEWMARKET ST",
            "address_2": "NUM 101-277",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982263872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 ELM ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982252899",
            "telephone_number": "360-220-9524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND BODY INTEGRATIVE THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-18",
        "last_updated": "2014-11-18",
        "status": "A",
        "authorized_official_last_name": "PAFFUMI",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-319-3350",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00011196",
            "primary": true
        }
    ],
    "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 Nov 18, 2014; 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.