Makael Lee White, LMFT, ATR-BC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LF61328543 Issued in WA

Practice address

447 25TH Ave
Longview, WA 98632-1321

Phone

(253) 290-3762

NPI assigned

Jul 11, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Missy Leigh White Former name

Medicare fee-for-service enrollment

Enrolled in WA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Makael White PLLC

  • Marriage & Family Therapist
  • Longview, WA
  • NPI 1932939675
  NPD Authorized official
• Hope Development Practice

  • Community/Behavioral Health Agency
  • Puyallup, WA
  • NPI 1285352906
  NPD

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

{
    "created_epoch": "1657497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1326772989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "447 25TH AVE",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986321321",
            "telephone_number": "253-290-3762",
            "fax_number": "253-390-3033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "447 25TH AVE",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986321321",
            "telephone_number": "253-290-3762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "MAKAEL",
        "middle_name": "LEE",
        "credential": "LMFT,  ATR-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-11",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": null,
            "license": "20-217",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF61328543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2250928",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MISSY",
            "last_name": "WHITE",
            "middle_name": "LEIGH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Douglas M Whelan, M.D.
• White Cross Orthopedic
• Elisa Renee White
• Joshua White, CF-SLP
• Katie Elaine White, AUD
• Robert C White, SUDPT
• Everett Lawrence Whiteside, RN
• Heather Whitney
• Paul L Whiton
• Jamie Wick, MS

• Marriage & Family Therapist in Longview, WA
• Providers in Longview, WA by specialty
• Marriage & Family Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.