MR. KELLY FROST MS, SUDP
NPI 1245788694
Counselor - Addiction (Substance Use Disorder) in Bellingham, WA

Active since September 14, 2016PECOS Enrolled
1155 N STATE ST, BELLINGHAM, WA 98225(360) 676-4485(360) 714-1294 Get Directions Write a Review

NPPES record last updated: December 27, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 27, 2022, Dec 21, 2022, Jul 29, 2022 and 1 more (4 updates tracked since 2016).

About Mr. Kelly Frost Ms, Sudp NPPES

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

MR. KELLY FROST MS, SUDP (NPI 1245788694) is an individual addiction (substance use disorder) provider in Bellingham, Washington, licensed in Washington (60545681) and active in the NPI registry since September 2016. He is enrolled in Medicare PECOS and maintains a secondary practice location in Bellingham.

NPPES Registry Identity

NPI1245788694
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. KELLY FROSTCredential: MS, SUDP
Location Address1155 N STATE STBellingham, WA 98225-5037
Mailing Address1130 N State StBellingham, WA 98225-5014 · (360) 676-4485 · Fax (360) 714-1294
Fax(360) 714-1294
Sole ProprietorNo
Enumeration DateSeptember 14, 2016
Last NPPES UpdateDecember 27, 20224 updates tracked since enumeration
NPPES CertifiedDecember 27, 2022
✔ NPI 1245788694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in WA · 60545681
1155 N STATE ST, Bellingham, WA 98225

Secondary Practice Location 1

Location 11130 N State StBellingham, WA 98225-5014 · Phone (360) 676-4485

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Kelly Frost Ms, Sudp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kelly Frost reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Same address
Addiction (Substance Use Disorder)
1155 N STATE ST
Bellingham, WA 98225
  • Reassigned Medicare billing, Washington enrollment
  • 7 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 9

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

Massage Therapist
1155 N STATE ST, SUITE 325
BELLINGHAM, WA 98225
Counselor (Addiction (Substance Use Disorder))
1155 N STATE ST
BELLINGHAM, WA 98225
Social Worker (Clinical)
1155 N STATE ST, SUITE 305
BELLINGHAM, WA 98225
Social Worker (Clinical)
1155 N STATE ST
BELLINGHAM, WA 98225
Massage Therapist
1155 N STATE ST, #428
BELLINGHAM, WA 98225
Naturopath
1155 N STATE ST, SUITE 610
BELLINGHAM, WA 98225
Social Worker (Clinical)
1155 N STATE ST
BELLINGHAM, WA 98225
Audiologist-Hearing Aid Fitter
1155 N STATE ST, SUITE 316
BELLINGHAM, WA 98225

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 Kelly Frost's NPI number?

The NPI number for Kelly Frost is 1245788694. It was assigned to this individual provider in the NPPES registry on September 14, 2016.

Where is Kelly Frost located?

Kelly Frost practices at 1155 N State St, Bellingham, WA 98225. The listed phone number is (360) 676-4485.

What is Kelly Frost's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Kelly Frost enrolled in Medicare?

Yes. Kelly Frost is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kelly Frost's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Frost reassigns Medicare benefits to Illahee Home Corp (Bellingham, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelly Frost's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kelly Frost was last updated on December 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.