Individual provider Active NPI

Kaela Grace Whitehead, LCSW

  • Clinical Social Worker
  • Meridian, ID
National Provider Identifier
1174069744
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW38786 Issued in ID
Practice address
2498 N Stokesberry PL
Meridian, ID 83646-5150
Phone
(208) 957-9859
NPI assigned
Jan 6, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW38786 ID Primary
Mental Health Counselor 101YM0800X LMSW36309 ID

Addresses

Primary practice location

2498 N Stokesberry PL
Meridian, ID 83646-5150

Mailing address

2498 N Stokesberry PL
Meridian, ID 83646-5150
Phone (208) 957-9859

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMSW36309IDMDMental Health Counselor
LCSW38786IDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ada West Counseling LLC CurrentSince Jan 19, 2020 Accepting new patients
Treasure Valley Connections Counseling PLLC Clinical CurrentSince Dec 24, 2023 Accepting new patients
Insight Counseling & Therapy Clinical Current Accepting new patients

Locations

925 N Main St
Meridian, ID 83642
Phone (208) 207-8800

2498 N Stokesberry Pl
Meridian, ID 83646
Phone (208) 947-5380

Organizations & group practices 3

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": "1483660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1174069744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2498 N STOKESBERRY PL",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836465150",
            "telephone_number": "208-957-9859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2498 N STOKESBERRY PL",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836465150",
            "telephone_number": "208-957-9859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITEHEAD",
        "first_name": "KAELA",
        "middle_name": "GRACE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-06",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW38786",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LMSW36309",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.