Active NPI
Jennifer L Bayer, PHD
- Psychologist
- Bellingham, WA
National Provider Identifier
1972069029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PY60902082
- Practice address
- 1140 10TH St Ste 203
Bellingham, WA 98225-7053 - Phone
- (360) 319-9930
- NPI assigned
- Feb 13, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | NU60176199 | WA | |
| Psychologist | 103T00000X | PY60902082 | WA | Primary |
Addresses
Primary practice location
1140 10TH St Ste 203
Bellingham, WA 98225-7053
Mailing address
1140 10TH St Ste 203
Bellingham, WA 98225-7053
Phone (360) 319-9930
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- University of Iowa, RJ & L Carver College of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1855 Main St
Suite 208
Ferndale, WA 98248-9060
Phone (360) 319-9930
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY60902082 | WA | MD | Psychologist |
| NU60176199 | WA | MD | Nutritionist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A Rooted Life Psychotherapy PLLC | Psychologist | Current | Accepting new patients |
Locations
1140 10th St
Ste 203
Bellingham, WA 98225
Phone (360) 319-9930
1855 Main St
Ste 208
Ferndale, WA 98248
Phone (360) 319-9930
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.
-
- Psychologist
- Ferndale, WA
- NPI 1588123640
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550016000000",
"number": "1972069029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1140 10TH ST STE 203",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982257053",
"telephone_number": "360-319-9930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1140 10TH ST STE 203",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982257053",
"telephone_number": "360-319-9930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAYER",
"first_name": "JENNIFER",
"middle_name": "L",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-13",
"last_updated": "2019-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "WA",
"license": "NU60176199",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WA",
"license": "PY60902082",
"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 Feb 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.