Individual provider Active NPI

Gail White, LPC, LAC

  • Professional Counselor
  • Fort Collins, CO
National Provider Identifier
1104986066
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
363 W Drake Rd Ste 5
Fort Collins, CO 80526-2882
Phone
(970) 541-9798
NPI assigned
Dec 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

363 W Drake Rd Ste 5
Fort Collins, CO 80526-2882

Mailing address

363 W Drake Rd Ste 5
Fort Collins, CO 80526-2882
Phone (970) 541-9798

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY, KS, CO3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20240205004433 WY Practitioner - Mental Health Counselor 6406299676 Reassigns benefits to 1 organization
I20251106004344 KS Practitioner - Mental Health Counselor 6406299676 Reassigns benefits to 1 organization
I20251112002686 CO Practitioner - Mental Health Counselor 6406299676 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tanglewood Collective PLLCGroup PAC ID 1850882937, 2 clinicians

Practice addresses (Care Compare)

363 W Drake Rd
Suite 5
Fort Collins, CO 80526-2882
Phone (970) 591-9628

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital of Laramie County CurrentSince Jan 1, 2024 Accepting new patients
Tanglewood Collective PLLC Addiction (Substance Use Disorder) CurrentSince Oct 5, 2025 Accepting new patients
Sondermind Provider Network LLC Professional CurrentSince Sep 30, 2025 Accepting new patients
Sondermind, P.a. CurrentSince Sep 30, 2025 Accepting new patients

Locations

363 W Drake Rd
Ste 5
Fort Collins, CO 80526
Phone (970) 591-9628

720 S Colorado Blvd
Ph N
Glendale, CO 80246
Phone (833) 988-0589

801 E Douglas Ave
Fl 2
Wichita, KS 67202
Phone (316) 330-5353

214 E 23rd St
Cheyenne, WY 82001
Phone (307) 324-2221

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": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1104986066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "363 W DRAKE RD STE 5",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805262882",
            "telephone_number": "970-541-9798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 W DRAKE RD STE 5",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805262882",
            "telephone_number": "970-541-9798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "GAIL",
        "credential": "LPC, LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.