Organization Active NPI

Mental Health Professionals, LLC

  • Professional Counselor
  • Shelton, WA
National Provider Identifier
1427206705
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
MENTAL HEALTH PROFESSIONALS, LLC
Practice address
2136 Olympic Hwy N
Shelton, WA 98584-2953
Phone
(360) 462-3320
Fax
(360) 930-6887
NPI assigned
Aug 28, 2008
Last updated
Nov 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

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

Authorized official

Name
Dr. Adrian Ronald Magnuson-Whyte, LMHCNPI 1881894798
Title
LMHC
Phone
(360) 462-3320

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X
Psychiatric/Mental Health Nurse Practitioner 363LP0808X
Mental Health Counselor 101YM0800X LH00009082 WA
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

2136 Olympic Hwy N
Shelton, WA 98584-2953

Mailing address

PO Box 366
Hoodsport, WA 98548-0366
Phone (360) 462-3320

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141017000941 WA Part B Supplier - Clinic/Group Practice 1456572353 Receives reassigned benefits from 2 practitioners
Practice locations: Shelton, WA

National Provider Directory

National Provider Directory

Locations

2136 Olympic Hwy N
Shelton, WA 98584
Phone (360) 285-3400

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1219881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699315200000",
    "number": "1427206705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 366",
            "city": "HOODSPORT",
            "state": "WA",
            "postal_code": "985480366",
            "telephone_number": "360-462-3320",
            "fax_number": "360-930-6887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2136 OLYMPIC HWY N",
            "city": "SHELTON",
            "state": "WA",
            "postal_code": "985842953",
            "telephone_number": "360-462-3320",
            "fax_number": "360-930-6887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL HEALTH PROFESSIONALS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-28",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A",
        "authorized_official_last_name": "MAGNUSON-WHYTE",
        "authorized_official_first_name": "ADRIAN",
        "authorized_official_middle_name": "RONALD",
        "authorized_official_title_or_position": "LMHC",
        "authorized_official_telephone_number": "360-462-3320",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00009082",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.