Individual provider Active NPI

Casey Gainey Whitman, LMHC

  • Mental Health Counselor
  • Bonifay, FL
National Provider Identifier
1053944124
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH17824 Issued in FL
Practice address
310 E Byrd Ave
Bonifay, FL 32425-3068
Phone
(850) 522-4485
NPI assigned
Feb 18, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH17824 FL Primary

Addresses

Primary practice location

310 E Byrd Ave
Bonifay, FL 32425-3068

Mailing address

113 Fox Glove LN
Panama City Beach, FL 32413-4680
Phone (850) 726-0443

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20240103003382 FL Practitioner - Mental Health Counselor 0143671131 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Life Management Center of NW FL, Inc. Current Accepting new patients
Life Management Center of Northwest Florida Inc CurrentSince Dec 14, 2023 Accepting new patients
Grow Healthcare Group PA Mental Health CurrentSince Aug 13, 2024 Accepting new patients
Compass Health, Inc Past Accepting new patients

Locations

16869 NE Pear St
Blountstown, FL 32424
Phone (850) 522-4485

310 E Byrd Ave
Bonifay, FL 32425
Phone (850) 522-4485

4094 Lafayette St
Marianna, FL 32446
Phone (850) 482-7441

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

525 E 15th St
Panama City, FL 32405
Phone (850) 522-4485

311 Williams Ave
Port St Joe, FL 32456
Phone (850) 522-4485

Organizations & group practices 4

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": "1581984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1053944124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 FOX GLOVE LN",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324134680",
            "telephone_number": "850-726-0443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 E BYRD AVE",
            "city": "BONIFAY",
            "state": "FL",
            "postal_code": "324253068",
            "telephone_number": "850-522-4485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITMAN",
        "first_name": "CASEY",
        "middle_name": "GAINEY",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-18",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH17824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonifay, FL

Sources for this page

Verify at the official NPI Registry.