Individual provider Active NPI

David Maurice White, LMFT

  • Marriage & Family Therapist
  • Anacortes, WA
National Provider Identifier
1033626536
Registry record updated Jul 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LF607946000 Issued in WA
Practice address
601 O Ave
Anacortes, WA 98221-1753
Phone
(360) 755-3474
Fax
(877) 241-4344
NPI assigned
Jan 5, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LF607946000 WA Primary

Addresses

Primary practice location

601 O Ave
Anacortes, WA 98221-1753

Mailing address

1116 11TH St
Anacortes, WA 98221-1932
Phone (360) 525-5586

Other practice location 1

1116 11th St
Anacortes, WA 98221-1932
Phone (360) 525-5586

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240224000192 WA Practitioner - Marriage and Family Therapist 8325483894 Reassigns benefits to 1 organization
Practice locations: Anacortes, WA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cardon and AssociatesGroup PAC ID 5193151033, 4 clinicians

Practice addresses (Care Compare)

601 O Ave
Anacortes, WA 98221-1753
Phone (360) 755-3474

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LF607946000WAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cardon and Associates CurrentSince Jan 1, 2024 Accepting new patients

Locations

601 O Ave
Anacortes, WA 98221
Phone (360) 293-2808

601 O Ave
Ste B
Anacortes, WA 98221
Phone (360) 755-3474

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1515110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595808000000",
    "number": "1033626536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1116 11TH ST",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982211932",
            "telephone_number": "360-525-5586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 O AVE",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982211753",
            "telephone_number": "360-755-3474",
            "fax_number": "877-241-4344"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1116 11th St",
            "address_purpose": "LOCATION",
            "city": "Anacortes",
            "state": "WA",
            "postal_code": "982211932",
            "country_code": "US",
            "telephone_number": "360-525-5586",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "DAVID",
        "middle_name": "MAURICE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-01-05",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF607946000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anacortes, WA

Sources for this page

Verify at the official NPI Registry.