Individual provider Active NPI

Thomas Joseph Whiteleather, LCPC, LCADC

  • Professional Counselor
  • Bel Air, MD
National Provider Identifier
1154774834
Registry record updated Jan 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC8638 Issued in MD
Practice address
37 E Lee St
Bel Air, MD 21014-3528
Phone
(410) 638-5168
Fax
(410) 638-5730
NPI assigned
Jul 19, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2020

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 LC8638 MD Primary

Addresses

Primary practice location

37 E Lee St
Bel Air, MD 21014-3528

Mailing address

PO Box 837
Forest Hill, MD 21050-0837
Phone (410) 638-5168

Other practice location 1

25 E Ellendale St
Suite B, 2nd Floor
Bel Air, MD 21014
Phone (410) 638-5168

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20231207001996 MD Practitioner - Mental Health Counselor 1951681451 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Real Life Counseling LLCGroup PAC ID 4789964289, 5 clinicians

Practice addresses (Care Compare)

37 E Lee St
Bel Air, MD 21014-3528
Phone (410) 638-5168

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Real Life Counseling LLC Professional CurrentSince Jan 1, 2024 Accepting new patients

Locations

37 E Lee St
Bel Air, MD 21014
Phone (410) 638-5168

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": "1468886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580256000000",
    "number": "1154774834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 837",
            "city": "FOREST HILL",
            "state": "MD",
            "postal_code": "210500837",
            "telephone_number": "410-638-5168",
            "fax_number": "410-638-5730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 E LEE ST",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210143528",
            "telephone_number": "410-638-5168",
            "fax_number": "410-638-5730"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 E Ellendale St",
            "address_2": "Suite B, 2nd Floor",
            "address_purpose": "LOCATION",
            "city": "Bel Air",
            "state": "MD",
            "postal_code": "21014",
            "country_code": "US",
            "telephone_number": "410-638-5168",
            "fax_number": "410-638-5730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITELEATHER",
        "first_name": "THOMAS",
        "middle_name": "JOSEPH",
        "credential": "LCPC, LCADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-19",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC8638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

Verify at the official NPI Registry.