Kaylan Renee White, RMHCI

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

IMH26008 Issued in FL

Practice address

2345 Stanford CT Ste 602
Naples, FL 34112-4841

Phone

(239) 880-2074

NPI assigned

Jun 19, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kaylan Renee Skrukrud Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1718755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1194569848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2464 LAKE AVE",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341126424",
            "telephone_number": "239-910-8334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 STANFORD CT STE 602",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341124841",
            "telephone_number": "239-880-2074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "KAYLAN",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "RMHCI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-19",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH26008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYLAN",
            "last_name": "SKRUKRUD",
            "middle_name": "RENEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• White Glove Elderly Care LLC
• Amy L. White, PA-C
• David C White, MD
• Jeremy Lee White, LCSW
• Karen Lenamond White, APRN
• Kristin A. White, NP
• Lavertta K White, APRN, FNP-BC
• Michael White, DPT
• Mary L Whitley, MMP, LMT
• Susan Whitman, P.T.

• Mental Health Counselor in Naples, FL
• Providers in Naples, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; 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.