Whitehouse Behavioral Health

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

WHITEHOUSE BEHAVIORAL HEALTH

Practice address

920 Frederica St Ste 204
Owensboro, KY 42301-3077

Phone

(270) 574-5600

Fax

(270) 574-5609

NPI assigned

Nov 19, 2019

Organization subpart

No

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

Authorized official

Name

Crystal Dawn Whitehouse, APRNNPI 1801346259

Title

Aprn, Owner

Phone

(270) 315-7208

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Crystal Whitehouse, APRN-NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Owensboro, KY
  • NPI 1801346259
  Medicare reassignment Care Compare group NPD Authorized official
• Jennifer Lynn Case

  • Psychiatric/Mental Health Nurse Practitioner
  • Owensboro, KY
  • NPI 1235921370
  Medicare reassignment Care Compare group NPD
• Sandra Edwards

  • Nurse Practitioner
  • Owensboro, KY
  • NPI 1174148340

  Psychiatric/Mental Health

  NPD (past)

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

{
    "created_epoch": "1574121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611705600000",
    "number": "1609412154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22618",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423042618",
            "telephone_number": "270-574-5600",
            "fax_number": "270-574-5609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 FREDERICA ST STE 204",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423013077",
            "telephone_number": "270-574-5600",
            "fax_number": "270-574-5609"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1210 4th St",
            "address_purpose": "LOCATION",
            "city": "Lewisport",
            "state": "KY",
            "postal_code": "423512526",
            "country_code": "US",
            "telephone_number": "270-315-7208",
            "fax_number": "270-255-4767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WHITEHOUSE BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-19",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A",
        "authorized_official_last_name": "WHITEHOUSE",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "APRN, OWNER",
        "authorized_official_telephone_number": "270-315-7208",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANCC",
            "identifier": "2016019876",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSING LICENSE",
            "identifier": "3010792",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaley Wethington
• Mark Steven Wheeler, D.M.D.
• Karla Whitaker, PT
• Nicholas Adam Whitaker, PHARM D
• Jonathan White
• Brittany Allyse Whitehouse, BSW, MSW
• Crystal Whitehouse, APRN-NP
• Gayla Whitehouse, RN, CDE
• Margaret Whitehouse, ARNP
• Sean M Whitehouse, PA-C

• Psychiatric/Mental Health Nurse Practitioner in Owensboro, KY
• Providers in Owensboro, KY by specialty
• Psychiatric/Mental Health Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; 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.