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TARA ETTLIN MS, LMHC
NPI 1093842643
Counselor - Professional in Bellingham, WA

Active since February 28, 2007Opted out of Medicare · through Feb 13, 2028
2110 IRON ST, BELLINGHAM, WA 98225(360) 734-2664(360) 671-8006 Get Directions Write a Review

NPPES record last updated: June 4, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tara Ettlin Ms, Lmhc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TARA ETTLIN MS, LMHC (NPI 1093842643) is an individual professional provider in Bellingham, Washington, licensed in Washington (LH60031137) and active in the NPI registry since February 2007. She has opted out of Medicare through February 13, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1093842643
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameTARA ETTLINCredential: MS, LMHC
Location Address2110 IRON STBellingham, WA 98225-4123
Mailing Address2110 Iron StBellingham, WA 98225-4123 · (360) 734-2664 · Fax (360) 671-8006
Phone(360) 734-2664
Fax(360) 671-8006
Sole ProprietorYes
Enumeration DateFebruary 28, 2007
Last NPPES UpdateJune 4, 2012
✔ NPI 1093842643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in WA · LH60031137
2110 IRON ST, Bellingham, WA 98225
Open in Google Maps ↗

Other Identifiers 1

Medicaid7406051WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Tara Ettlin Ms, Lmhc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 13, 2024 through February 13, 2028.

Opt-Out Effective DateFebruary 13, 2024
Opt-Out In Effect ThroughFebruary 13, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATRINA NICOLE BACKSTROM
Behavior Analyst
2110 IRON ST
BELLINGHAM, WA 98225
Whatcom County (360) 930-6063
MEGAN THOMPSON
Behavior Analyst
2110 IRON ST
BELLINGHAM, WA 98225
Whatcom County (360) 930-6063
MARGARET TREMBLAY
Behavior Analyst
2110 IRON ST
BELLINGHAM, WA 98225
Whatcom County (360) 392-8850
MRS. SARA ANN DESSERT MA, BCBA, NBCT
Behavior Analyst
2110 IRON ST
BELLINGHAM, WA 98225
Whatcom County (360) 930-6063
ENDLESS POTENTIAL
Early Intervention Provider Agency
2110 IRON ST
BELLINGHAM, WA 98225
Whatcom County (360) 930-6063
ANGELA ELENBAAS
Behavior Analyst
2110 IRON ST
BELLINGHAM, WA 98225
Whatcom County (360) 930-6063
MADELINE LESLIE
Behavior Technician
2110 IRON ST
BELLINGHAM, WA 98225
Whatcom County (360) 930-6063
MS. CHARLOTTE BERKMAN
Behavior Analyst
2110 IRON ST
BELLINGHAM, WA 98225
Whatcom County (206) 714-7412

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tara Ettlin's NPI number?

The NPI number for Tara Ettlin is 1093842643. It was assigned to this individual provider in the NPPES registry on February 28, 2007.

Where is Tara Ettlin located?

Tara Ettlin practices at 2110 Iron St, Bellingham, WA 98225. The listed phone number is (360) 734-2664.

What is Tara Ettlin's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Tara Ettlin enrolled in Medicare?

No. Tara Ettlin has opted out of Medicare through February 13, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Tara Ettlin accept?

Health plans from PacificSource Health Plans and Premera Blue Cross Blue Shield of Alaska list Tara Ettlin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tara Ettlin was last updated on June 4, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.