Active NPI
Stephen O Whitfield, BS
- Mental Health Counselor
- Richland, WA
National Provider Identifier
1053892919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- CG60740556
- Practice address
- 1175 Carondelet Dr
Richland, WA 99354-3300 - Phone
- (509) 943-9104
- NPI assigned
- Aug 28, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | CG60740556 | WA | Primary |
Addresses
Primary practice location
1175 Carondelet Dr
Richland, WA 99354-3300
Mailing address
1175 Carondelet Dr
Richland, WA 99354-3300
Phone (509) 943-9104
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CG60740556 | Other | WA | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CG60740556 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605139200000",
"number": "1053892919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1175 CARONDELET DR",
"city": "RICHLAND",
"state": "WA",
"postal_code": "993543300",
"telephone_number": "509-943-9104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1175 CARONDELET DR",
"city": "RICHLAND",
"state": "WA",
"postal_code": "993543300",
"telephone_number": "509-943-9104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITFIELD",
"first_name": "STEPHEN",
"middle_name": "O",
"credential": "BS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-08-28",
"last_updated": "2020-11-12",
"certification_date": "2020-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "CG60740556",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "CG60740556",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Richland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.