Organization Active NPI

Lynden Counseling Collective PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lynden, WA
National Provider Identifier
1871252825
Registry record updated Feb 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
LYNDEN COUNSELING COLLECTIVE PLLC
Practice address
105 3Rd St
Lynden, WA 98264-1408
Phone
(830) 734-4000
NPI assigned
Dec 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2025

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

Authorized official

Name
Kelly Cooper, LH61228753NPI 1851945943
Title
Licensed Mental Health Counselor
Phone
(830) 734-4000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

105 3Rd St
Lynden, WA 98264-1408

Mailing address

105 3Rd St
Lynden, WA 98264-1408
Phone (830) 734-4000

National Provider Directory

National Provider Directory

Locations

105 3rd St
Lynden, WA 98264
Phone (360) 389-3278

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1639612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739664000000",
    "number": "1871252825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 3RD ST",
            "city": "LYNDEN",
            "state": "WA",
            "postal_code": "982641408",
            "telephone_number": "830-734-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 3RD ST",
            "city": "LYNDEN",
            "state": "WA",
            "postal_code": "982641408",
            "telephone_number": "830-734-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNDEN COUNSELING COLLECTIVE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-16",
        "last_updated": "2025-02-16",
        "certification_date": "2025-02-13",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "LICENSED MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "830-734-4000",
        "authorized_official_credential": "LH61228753"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynden, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.