Komo Kulshan Counseling PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

KOMO KULSHAN COUNSELING PLLC

Doing business as

Komo Kulshan Counseling

Practice address

1155 N State St Ste 608
Bellingham, WA 98225-5024

Phone

(360) 246-1072

Fax

(360) 246-1072

NPI assigned

Feb 13, 2019

Organization subpart

No

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

Authorized official

Name

Lucille C Correa, LICSW

Title

President

Phone

(360) 224-2631

Specialties & licenses 1

Addresses

Other names 1

• Komo Kulshan Counseling Doing business as

Locations

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

{
    "created_epoch": "1550016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550016000000",
    "number": "1851857916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7762 CASCADES DR",
            "city": "MAPLE FALLS",
            "state": "WA",
            "postal_code": "982667713",
            "telephone_number": "360-920-4770",
            "fax_number": "360-246-1072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 N STATE ST STE 608",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982255024",
            "telephone_number": "360-246-1072",
            "fax_number": "360-246-1072"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7762 Cascades Dr",
            "address_purpose": "LOCATION",
            "city": "Maple Falls",
            "state": "WA",
            "postal_code": "982667713",
            "country_code": "US",
            "telephone_number": "360-920-4770",
            "fax_number": "360-246-1072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KOMO KULSHAN COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-13",
        "last_updated": "2019-02-13",
        "status": "A",
        "authorized_official_last_name": "CORREA",
        "authorized_official_first_name": "LUCILLE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-224-2631",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Komo Kulshan Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Koivisto
• Hendrik S Kok, PA C
• Sukhbir S Kolar, D.D.S.
• Tatyana Kolesnikov
• Jolene Quinn Komac
• Brahma R Konda, MD
• Stephen W Kongs, D.C.
• Brian J Koning, O.D.
• Karli Suzanne Koning
• Christoher Konnerup, BA

• Clinical Social Worker in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.