Organization Active NPI

Caroline White Counseling

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Renton, WA
National Provider Identifier
1760125082
Registry record updated Apr 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
CAROLINE WHITE COUNSELING
Practice address
1123 Maple Ave SW
Renton, WA 98057-3161
Phone
(205) 306-3843
NPI assigned
Apr 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2022

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

Authorized official

Name
Caroline White, LMHC, NCCNPI 1760130363
Title
Mental Health Counselor
Phone
(205) 306-3843

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1123 Maple Ave SW
Renton, WA 98057-3161

Mailing address

12101 SE 26TH St
Bellevue, WA 98005-4118

Other names 1

  • Radical Connection Therapy Group Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL simplepractice.com

National Provider Directory

National Provider Directory

Locations

1123 Maple Ave SW
Renton, WA 98057
Phone (205) 306-3843

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1649894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649894400000",
    "number": "1760125082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12101 SE 26TH ST",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980054118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1123 MAPLE AVE SW",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980573161",
            "telephone_number": "205-306-3843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINE WHITE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-14",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_title_or_position": "MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "205-306-3843",
        "authorized_official_credential": "LMHC, NCC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "simplepractice.com",
            "affiliation": "N",
            "address_1": "1123 Maple Ave SW",
            "city": "Renton",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980573161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Radical Connection Therapy Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.