MINDFUL CHANGE COUNSELING, LLC (NPI# 1699222794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699222794 |
| Entity Type | Organization |
| Organization Name | MINDFUL CHANGE COUNSELING, LLC |
| Practice Address |
119 N Commercial St #375 Bellingham WA 98225-4446 |
| Mailing Address |
1342 Franklin St Bellingham WA 98225-4907 |
| Practice Telephone | 3605104807 |
| Mailing Telephone | 3605104807 |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2016-09-07 |
| Authorized Official Name | KATHLEEN LAMBERT THORNDIKE (OWNER) |
| Authorized Official Telephone | 3605104807 |
| Authorized Official Credential | LICSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LW 60389092 | WA | Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | MINDFUL CHANGE COUNSELING, LLC | 1229 Cornwall Ave Ste 212, Bellingham, WA 98225-5023 |
| Street Address |
119 N COMMERCIAL ST #375 |
| City | BELLINGHAM |
| State | WA |
| Zip Code | 98225-4446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134194988 | Kathleen M Westover | Counselor | 119 N Commercial St, Suite 1100, Bellingham, WA 98225-4446 | 2006-02-22 |
| 1891166005 | Jennifer Arm | Psychologist | 119 N Commercial St, Suite 1410, Bellingham, WA 98225-4446 | 2015-10-14 |
| 1407224520 | Kathleen Lambert Thorndike | Social Worker | 119 N Commercial St, #375, Bellingham, WA 98225-4446 | 2015-09-04 |
| 1922342153 | Barbara Ann Durdle | Counselor | 119 N Commercial St, Suite 320, Bellingham, WA 98225-4446 | 2012-11-09 |
| 1336469394 | Debra Jean Young | Counselor | 119 N Commercial St, Suite 580, Bellingham, WA 98225-4446 | 2010-06-01 |
| 1144411406 | Melissa A D'haene | Specialist | 119 N Commercial St, Ste 410, Bellingham, WA 98225-4446 | 2007-08-01 |
| 1902014228 | Eileen Gribble | Specialist | 119 N Commercial St, Suite 370, Bellingham, WA 98225-4446 | 2007-05-18 |
| 1265648042 | Delynn Poole Mackenzie | Counselor | 119 N Commercial St, Suite 330, Bellingham, WA 98225-4446 | 2007-05-16 |
| 1780809756 | Sheila Blake King | Massage Therapist | 119 N Commercial St, Suite 320, Bellingham, WA 98225-4446 | 2007-04-16 |
| 1053434027 | Joan R Wildfield | Counselor | 119 N Commercial St, Suite 1100, Bellingham, WA 98225-4446 | 2007-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578183729 | Family Care Network Pllc | Clinic/Center | 3548 Meridian St, Suite #101-b, Bellingham, WA 98225 | 2020-04-17 |
| 1770129264 | Ariella K Ross | Massage Therapist | 2701 Northwest Avenue, Bellingham, WA 98225 | 2019-11-20 |
| 1467006205 | Family Care Network, Pllc | Family Medicine | 805 W. Orchard Drive, Suite 6, Bellingham, WA 98225 | 2019-07-30 |
| 1487110375 | Rhonda Beth Steel | Massage Therapist | Fairhaven Harbor, 1310 9th Street Penthouse No. 504, Fairhaven/bellingham, WA 98225 | 2019-02-15 |
| 1366915316 | Alexander Knight Acupuncture Inc | Acupuncturist | 12 Bellwether Way, Suite 201, Bellingham, WA 98225 | 2019-01-02 |
| 1902372998 | Northwest Telepsychiatry, Pllc | Psychiatry & Neurology | 114 W. Magnolia St., Suite 505, Bellingham, WA 98225 | 2018-10-17 |
| 1639650336 | Jennifer Sue Cogen | Massage Therapist | 2701 Northwest Ave. (ohana Pacific, Inc.), Bellingham, WA 98225 | 2018-08-22 |
| 1013414036 | Tamara C Dee | Social Worker | 1313 E Maple St Ste 229, Bellingham, WA 98225 | 2018-04-06 |
| 1417468596 | Samantha Grace Smith | Counselor | 920 Harris Avenue, 202-e, Bellingham, WA 98225 | 2017-10-17 |
| 1710406731 | Shalom Maria Shreve | Counselor | 1133 Railroad Ave., Suite 100, Bellingham, WA 98225 | 2017-09-11 |
| Find all providers in zip 98225 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427681881 | Geneva Elizabeth Graham | Social Worker | 2223 I St Apt A, Bellingham, WA 98225-3321 | 2020-02-13 |
| 1316580038 | Ryan R Douglas | Social Worker | 2602 St Clair Pl, Bellingham, WA 98226-6131 | 2019-10-25 |
| 1689228264 | Sara Morgan Gall | Social Worker | 3865 Magrath Rd, Bellingham, WA 98226-8884 | 2019-07-31 |
| 1699259184 | Kerrie Ann Cusack | Social Worker | 21 Blackstone St, Bellingham, MA 02019-1601 | 2018-09-20 |
| 1346735347 | Maria Rockwell | Social Worker | 1020 N State St, Bellingham, WA 98225-5012 | 2018-06-22 |
| 1598259889 | Erin Ann Clouthier Antenen | Social Worker | 1106 Harris Ave Ste 210, Bellingham, WA 98225-7001 | 2018-06-19 |
| 1972092856 | Ashley Aiken | Social Worker | 621 N Forest St Apt 2, Bellingham, WA 98225-5346 | 2018-05-06 |
| 1013414036 | Tamara C Dee | Social Worker | 1313 E Maple St Ste 229, Bellingham, WA 98225 | 2018-04-06 |
| 1710411053 | Leigh Wirth Counseling | Social Worker | 2339 West St, Bellingham, WA 98225-2150 | 2017-04-13 |
| 1295279875 | Esther Maria Grummel | Social Worker | 103 E Holly St Ste 319, Bellingham, WA 98225-4728 | 2016-12-15 |
| Find all providers in BELLINGHAM | ||||
| City | BELLINGHAM |
| Zip Code | 98225 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.