JAKE BLONDHEIM
NPI 1346850526
Counselor - Mental Health in Bellingham, WA

Active since August 03, 2020PECOS EnrolledAccepts Medicare Assignment
315 LAKEWAY DR, BELLINGHAM, WA 98225(360) 329-2055 Get Directions Write a Review

NPPES record last updated: January 8, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jake Blondheim NPPES

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

JAKE BLONDHEIM (NPI 1346850526) is an individual mental health provider in Bellingham, Washington, licensed in Washington (LH61435396) and active in the NPI registry since August 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1346850526
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJAKE BLONDHEIM
Location Address315 LAKEWAY DRBellingham, WA 98225-5214
Mailing Address315 Lakeway DrBellingham, WA 98225-5214 · (360) 329-2055
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 3, 2020
Last NPPES UpdateJanuary 8, 2024
NPPES CertifiedJanuary 8, 2024
✔ NPI 1346850526 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in WA · LH61435396
315 LAKEWAY DR, Bellingham, WA 98225

Other Names 1

Professional Name (2)Jake Blondheim Lmhc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jake Blondheim is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2365947652
PECOS Enrollment IDI20250926001516
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 Jake Blondheim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community/Behavioral Health
1718 BROADWAY
Everett, WA 98201
  • Reassigned Medicare billing, Washington enrollment
  • 14 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 4

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

Social Worker (Clinical)
315 LAKEWAY DR
BELLINGHAM, WA 98225
Counselor (Mental Health)
315 LAKEWAY DR
BELLINGHAM, WA 98225
Acupuncturist
315 LAKEWAY DR
BELLINGHAM, WA 98225
Clinic/Center (Mental Health (Including Community Mental Health Center))
315 LAKEWAY DR
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 Jake Blondheim's NPI number?

The NPI number for Jake Blondheim is 1346850526. It was assigned to this individual provider in the NPPES registry on August 3, 2020. The provider is also known as Jake Blondheim Lmhc.

Where is Jake Blondheim located?

Jake Blondheim practices at 315 Lakeway Dr, Bellingham, WA 98225. The listed phone number is (360) 329-2055.

What is Jake Blondheim's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Jake Blondheim enrolled in Medicare?

Yes. Jake Blondheim is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jake Blondheim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jake Blondheim reassigns Medicare benefits to Sunrise Services, Inc. (Everett, 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 Jake Blondheim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jake Blondheim accept?

Health plans from Ambetter Health, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Jake Blondheim 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 Jake Blondheim was last updated on January 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.