MR. JEREMY JAMES RUTHERFORD M.S.
NPI 1457647695
Psychologist in Bellingham, WA

Active since June 27, 2011PECOS EnrolledAccepts Medicare Assignment
1616 CORNWALL AVE STE 205, BELLINGHAM, WA 98225(360) 676-6177(360) 671-3574 Get Directions Write a Review

NPPES record last updated: June 14, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Jeremy James Rutherford M.s. NPPES

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

MR. JEREMY JAMES RUTHERFORD M.S. (NPI 1457647695) is an individual psychologist in Bellingham, Washington, licensed in Washington (PY60974878) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1457647695
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameMR. JEREMY JAMES RUTHERFORDCredential: M.S.
Location Address1616 CORNWALL AVE STE 205Bellingham, WA 98225-4642
Mailing Address1616 Cornwall Ave Ste 205Bellingham, WA 98225-4642 · (360) 676-6177 · Fax (360) 671-3574
Fax(360) 671-3574
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateJune 27, 2011
Last NPPES UpdateJune 14, 2021
NPPES CertifiedJune 14, 2021
NPI 1457647695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in WA · PY60974878
Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License LH60535582 (WA)
1616 CORNWALL AVE STE 205, Bellingham, WA 98225

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Jeremy James Rutherford M.s. 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 ID7517376783
PECOS Enrollment IDI20210429002509
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.

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.

Dentist (General Practice)
1616 CORNWALL AVE STE 205
BELLINGHAM, WA 98225
Dental Hygienist
1616 CORNWALL AVE STE 205
BELLINGHAM, WA 98225
Counselor (Addiction (Substance Use Disorder))
1616 CORNWALL AVE STE 205
BELLINGHAM, WA 98225
Counselor (Mental Health)
1616 CORNWALL AVE STE 205
BELLINGHAM, WA 98225
Dentist
1616 CORNWALL AVE STE 205
BELLINGHAM, WA 98225
Counselor
1616 CORNWALL AVE STE 205
BELLINGHAM, WA 98225
Dental Hygienist
1616 CORNWALL AVE STE 205
BELLINGHAM, WA 98225
Social Worker (Clinical)
1616 CORNWALL AVE STE 205
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 Jeremy Rutherford's NPI number?

The NPI number for Jeremy Rutherford is 1457647695. It was assigned to this individual provider in the NPPES registry on June 27, 2011.

Where is Jeremy Rutherford located?

Jeremy Rutherford practices at 1616 Cornwall Ave Ste 205, Bellingham, WA 98225. The listed phone number is (360) 676-6177.

What is Jeremy Rutherford's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Jeremy Rutherford enrolled in Medicare?

Yes. Jeremy Rutherford 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.

What insurance does Jeremy Rutherford accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Jeremy Rutherford 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 Jeremy Rutherford was last updated on June 14, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.