Whole Body Psychotherapy

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

WHOLE BODY PSYCHOTHERAPY

Practice address

4500 Williams Dr Ste 212-158
Georgetown, TX 78633-1332

Phone

(609) 417-8777

NPI assigned

May 19, 2022

Organization subpart

No

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

Authorized official

Name

Shiri KaczurNPI 1457929655

Title

Owner

Phone

(609) 417-8777

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shiri Kaczur, LPC

  • Mental Health Counselor
  • Georgetown, TX
  • NPI 1457929655
  NPD Authorized official

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

{
    "created_epoch": "1652918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652918400000",
    "number": "1053058032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 WILLIAMS DR STE 212-158",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786331332",
            "telephone_number": "609-417-8777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 WILLIAMS DR STE 212-158",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786331332",
            "telephone_number": "609-417-8777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLE BODY PSYCHOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-19",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A",
        "authorized_official_last_name": "KACZUR",
        "authorized_official_first_name": "SHIRI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-417-8777"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE INSURANCE",
            "identifier": "1457929655",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caitlin Noto White, FNP-BC
• Ernest William White
• James Edward White, PT
• Jena Whitley, MS, ATC, LAT
• Melissa Kaye Whitsett, LPC
• Ashton Senathi Wickramasinghe, MD
• Hannah Meckenzie Wideman
• Corinne Marguerite Wier, LPC
• Casey Wilburn, BS, CLS
• Tesa Wilder

• Mental Health Counselor in Georgetown, TX
• Providers in Georgetown, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.