Individual provider Active NPI

Wellington William White, MA MFT ASSOCIATE MH

  • Mental Health Counselor
  • Tacoma, WA
National Provider Identifier
1770397192
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MC61584539 Issued in WA
Practice address
14107 Pacific Ave S Ste B
Tacoma, WA 98444-4622
Phone
(253) 691-7516
NPI assigned
Feb 5, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MC61584539 WA Primary

Addresses

Primary practice location

14107 Pacific Ave S Ste B
Tacoma, WA 98444-4622

Mailing address

101 138TH St S Apt 20
Tacoma, WA 98444-4765
Phone (360) 324-2183

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
MC61584539WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Oakdale Family Services CurrentSince May 11, 2025 Accepting new patients
Bailey and Bailey Counseling and Consultation Mental Health CurrentSince Aug 17, 2025 Accepting new patients

Locations

14107 Pacific Ave S
Ste B
Tacoma, WA 98444
Phone (253) 285-0821

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1738713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1770397192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 138TH ST S APT 20",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984444765",
            "telephone_number": "360-324-2183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14107 PACIFIC AVE S STE B",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984444622",
            "telephone_number": "253-691-7516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "WELLINGTON",
        "middle_name": "WILLIAM",
        "credential": "MA MFT ASSOCIATE MH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-02-05",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC61584539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; 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.