Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jake Blondheim

Individual provider Mental Health Counselor · NPI 1346850526

Jake Blondheim is a Mental Health Counselor in Bellingham, Washington. Qualified in 2021, 5 years ago. Practices as a sole proprietor. Licensed in Washington.

Years since qualifying
5
Licensed in
WA
In the registry since
2020
Specialties on file
2

Practice location Address checks out

315 Lakeway Dr
Bellingham, WA 98225-5214
Phone: (360) 329-2055
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence LH61435396 (WA)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1346850526
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 3, 2020
Last updated in NPPESJanuary 8, 2024
Certification dateJanuary 8, 2024
Mailing address315 Lakeway Dr, Bellingham, WA 98225-5214

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated

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