Individual provider Active NPI

Olivia Anne Candella

  • Mental Health Counselor
  • Bellingham, WA
National Provider Identifier
1811462104
Registry record updated Apr 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH61309060 Issued in WA
Practice address
1225 E Sunset Dr Ste
Bellingham, WA 98226-3554
Phone
(971) 319-4183
NPI assigned
Oct 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH61309060 WA Primary
Mental Health Counselor 101YM0800X F.2400411 OH
Mental Health Counselor 101YM0800X E.2404050 OH

Addresses

Primary practice location

1225 E Sunset Dr Ste
Bellingham, WA 98226-3554

Mailing address

1225 E Sunset Dr
Bellingham, WA 98226-3597
Phone (971) 319-4183

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240212001556 OH Practitioner - Marriage and Family Therapist 3274976782

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E.2404050OHMDMental Health Counselor
LH61309060WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1539302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713052800000",
    "number": "1811462104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 E SUNSET DR",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982263597",
            "telephone_number": "971-319-4183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 E SUNSET DR STE",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982263554",
            "telephone_number": "971-319-4183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANDELLA",
        "first_name": "OLIVIA",
        "middle_name": "ANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-12",
        "last_updated": "2024-04-14",
        "certification_date": "2024-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH61309060",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "F.2400411",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.2404050",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

Verify at the official NPI Registry.