Individual provider Active NPI

J. Ane Berrett, COUNSELOR

  • Mental Health Counselor
  • Bellingham, WA
National Provider Identifier
1790029882
Registry record updated Dec 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH 00005652 Issued in WA
Practice address
1118 Finnegan Way Ste 102
Bellingham, WA 98225-6656
Phone
(360) 303-6278
Fax
(360) 527-8999
NPI assigned
Nov 15, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2021

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 LH 00005652 WA Primary

Addresses

Primary practice location

1118 Finnegan Way Ste 102
Bellingham, WA 98225-6656

Mailing address

3031 Orleans St Ste 101
Bellingham, WA 98226-3557
Phone (360) 392-2838

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Nov 2, 2025 through Nov 2, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LH 00005652WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639094400000",
    "number": "1790029882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3031 ORLEANS ST STE 101",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982263557",
            "telephone_number": "360-392-2838",
            "fax_number": "360-527-8999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 FINNEGAN WAY STE 102",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982256656",
            "telephone_number": "360-303-6278",
            "fax_number": "360-527-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRETT",
        "first_name": "J.",
        "middle_name": "ANE",
        "name_prefix": "Ms.",
        "credential": "COUNSELOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-15",
        "last_updated": "2021-12-10",
        "certification_date": "2021-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH 00005652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

Verify at the official NPI Registry.