Shaylin Skye White

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

42 Hudspeth LN
Pueblo, CO 81005-2130

Phone

(719) 320-5717

NPI assigned

Dec 21, 2021

Last updated

Dec 21, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in CO

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

Specialty

Mental Health Counselor

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Gateway to Success, PCGroup PAC ID 3173885670, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gateway to Success, PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Pueblo, CO
  • NPI 1922348481
  Medicare reassignment Care Compare group NPD
• Gateway to Success, PC

  • Medical Specialty Clinic/Center
  • Pueblo, CO
  • NPI 1770958423
  NPD

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

{
    "created_epoch": "1640044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640044800000",
    "number": "1710647557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 W 12TH ST",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810032808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 HUDSPETH LN",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810052130",
            "telephone_number": "719-320-5717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "SHAYLIN",
        "middle_name": "SKYE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-21",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "shaylin@fisher-therapy.com",
            "affiliation": "N",
            "address_1": "42 hudspeth lane",
            "city": "pueblo",
            "state": "CO",
            "country_code": "US",
            "postal_code": "81005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "shaylin@fisher-therapy.com",
            "affiliation": "N",
            "address_1": "42 hudspeth lane",
            "city": "pueblo",
            "state": "CO",
            "country_code": "US",
            "postal_code": "81005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Eva Lorraine White, RN
• Heather White
• Jodi L White, RN
• Maureen L White, LPC
• Michael White
• Teri White
• Whitney White, LPC
• Karley Whiteman
• Janice Mary Whiting, NP
• Tausha Whiting, COTA/L

• Mental Health Counselor in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.