Sound Life Recovery, PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SOUND LIFE RECOVERY, PLLC

Practice address

1200 Harris Ave Ste 410
Bellingham, WA 98225-7148

Phone

(360) 340-9288

NPI assigned

Aug 2, 2023

Last updated

Aug 2, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nicole Kilgos

Title

Admin

Phone

(360) 340-9288

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeffery James Roskelley, LICSW

  • Clinical Social Worker
  • Bellingham, WA
  • NPI 1558669564
  NPD

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

{
    "created_epoch": "1690934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690934400000",
    "number": "1922780527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 HARRIS AVE STE 410",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982257148",
            "telephone_number": "360-340-9288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 HARRIS AVE STE 410",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982257148",
            "telephone_number": "360-340-9288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUND LIFE RECOVERY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-02",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A",
        "authorized_official_last_name": "KILGOS",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "360-340-9288"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quentin Loic Souchet, CBT
• John Michael Souder, L.M.P.
• Nicole S Souders, AAC
• Renee Gwendolyn Soule, PHD
• Sound Hearing
• Sound Oxygen Service, LLC
• Sound Pain Alliance (Mt Baker Pain Clinic)
• Sound Pain Alliance (Mt Baker Pain Clinic)
• Sound Pain Alliance (Mt. Baker Surgery Center)
• Sound Pain Alliance (Black Stone Health)

• Community/Behavioral Health Agency in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Community/Behavioral Health Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.