Individual provider Active NPI

Kyle White

  • Professional Counselor
  • Hartford, CT
National Provider Identifier
1093257297
Registry record updated Dec 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2978 Issued in CT
Practice address
56 Arbor St Ste 106
Hartford, CT 06106-1223
Phone
(860) 930-6745
NPI assigned
Nov 6, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2978 CT Primary

Addresses

Primary practice location

56 Arbor St Ste 106
Hartford, CT 06106-1223

Mailing address

56 Arbor St Ste 106
Hartford, CT 06106-1223
Phone (860) 930-6745

Other identifiers 1

IdentifierTypeStateIssuer
008068845MedicaidCT

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kbarreuther@taprootintegrativecare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 2, 2024 through Jan 2, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Taproot Integrative Care for Holistic Health Professional CurrentSince Jan 12, 2020 Accepting new patients

Locations

56 Arbor St
Ste 106
Hartford, CT 06106
Phone (860) 930-6745

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1478390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577750400000",
    "number": "1093257297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 ARBOR ST STE 106",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061061223",
            "telephone_number": "860-930-6745",
            "fax_number": "860-967-0343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 ARBOR ST STE 106",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061061223",
            "telephone_number": "860-930-6745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "KYLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-06",
        "last_updated": "2019-12-31",
        "certification_date": "2019-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "2978",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008068845",
            "state": "CT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kbarreuther@taprootintegrativecare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "56 Arbor St Ste 106",
            "city": "Hartford",
            "state": "CT",
            "country_code": "US",
            "postal_code": "061061223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.