Active NPI
Caroline A White, LMHC
- Mental Health Counselor
- Bellevue, WA
National Provider Identifier
1760130363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH61189970
- Practice address
- 12101 SE 26TH St
Bellevue, WA 98005-4118 - Phone
- (205) 306-3843
- NPI assigned
- Mar 13, 2022
- Last updated
- Mar 13, 2022
- Sex
- Female
- Sole proprietor
- No
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 | LH61189970 | WA | Primary |
Addresses
Primary practice location
12101 SE 26TH St
Bellevue, WA 98005-4118
Mailing address
12101 SE 26TH St
Bellevue, WA 98005-4118
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 |
|---|---|---|---|
| LH61189970 | WA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caroline White Counseling | Current | Accepting new patients |
Locations
1123 Maple Ave SW
Ste 230
Renton, WA 98057
Organizations & group practices 1
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.
-
dba Radical Connection Therapy Group
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Renton, WA
- NPI 1760125082
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647129600000",
"number": "1760130363",
"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": "12101 SE 26TH ST",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980054118",
"telephone_number": "205-306-3843"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "CAROLINE",
"middle_name": "A",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-13",
"last_updated": "2022-03-13",
"certification_date": "2022-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH61189970",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.