Active NPI
Suzan April White-House, LHMC
- Mental Health Counselor
- Anacortes, WA
National Provider Identifier
1366067357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LMHC03649
- Practice address
- 4133 San Juan Blvd
Anacortes, WA 98221-8516 - Phone
- (904) 466-1009
- Fax
- (360) 873-8463
- NPI assigned
- Jun 15, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LMHC03649 | FL | Primary |
Addresses
Primary practice location
4133 San Juan Blvd
Anacortes, WA 98221-8516
Mailing address
4133 San Juan Blvd
Anacortes, WA 98221-8516
Phone (904) 466-1009
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMHC03649 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592179200000",
"number": "1366067357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4133 SAN JUAN BLVD",
"city": "ANACORTES",
"state": "WA",
"postal_code": "982218516",
"telephone_number": "904-466-1009",
"fax_number": "360-873-8463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4133 SAN JUAN BLVD",
"city": "ANACORTES",
"state": "WA",
"postal_code": "982218516",
"telephone_number": "904-466-1009",
"fax_number": "360-873-8463"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE-HOUSE",
"first_name": "SUZAN",
"middle_name": "APRIL",
"credential": "LHMC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-06-15",
"last_updated": "2020-06-15",
"certification_date": "2020-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "LMHC03649",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anacortes, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.