Individual provider Active NPI

Kelsey Harisiades, LMHC

  • Mental Health Counselor
  • Bellingham, WA
National Provider Identifier
1902345135
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH61014356 Issued in WA
Practice address
1050 Larrabee Ave Ste 104-758
Bellingham, WA 98225-7367
Phone
(360) 230-6603
NPI assigned
Feb 21, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MC60724651 WA
Mental Health Counselor 101YM0800X LH61014356 WA Primary

Addresses

Primary practice location

1050 Larrabee Ave Ste 104-758
Bellingham, WA 98225-7367

Mailing address

1050 Larrabee Ave Ste 104-758
Bellingham, WA 98225-7367
Phone (360) 230-6603

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LH61014356WAMDMental Health Counselor
MC60724651WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kelsey Karolyn Counseling PLLC Mental Health CurrentSince Sep 24, 2023 Accepting new patients

Locations

1200 Old Fairhaven Pkwy
Ste 203
Bellingham, WA 98225
Phone (206) 380-9342

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1487635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1902345135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 LARRABEE AVE STE 104-758",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982257367",
            "telephone_number": "360-230-6603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 LARRABEE AVE STE 104-758",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982257367",
            "telephone_number": "360-230-6603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARISIADES",
        "first_name": "KELSEY",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-21",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC60724651",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH61014356",
            "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 Aug 15, 2023; 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.